Organization
GLENN P. FRIAL, DDS, MS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN P. FRIAL D.D.S., M.S. (PRESIDENT/ORTHODONTIST)
(949) 276-2105
Entity
Organization
Contact information
Practice address
28202 CABOT RD, SUITE 250, LAGUNA NIGUEL, CA 92677-1250
(949) 276-2105
(949) 276-2109
Mailing address
28202 CABOT RD, SUITE 250, LAGUNA NIGUEL, CA 92677-1250
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41012
CA
Other
Enumeration date
10/04/2006
Last updated
02/17/2015
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