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Organization
ANGELA FANG DENTAL CORPORATION
Active
Organization
ANGELA FANG DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA FANG (CEO)
(310) 619-1778
Entity
Organization
Contact information
Practice address
31161 NIGUEL RD STE K, LAGUNA NIGUEL, CA 92677-4102
(949) 443-5000
Mailing address
24971 SAUSALITO ST, LAGUNA HILLS, CA 92653-5627
(310) 619-1778
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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