Organization
GUY W MENDIVIL DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY W MENDIVIL DDS (OWNER)
(949) 859-0116
Entity
Organization
Contact information
Practice address
27725 SANTA MARGARITA PKWY, SUITE 241, MISSION VIEJO, CA 92691-6704
(949) 859-1318
Mailing address
27725 SANTA MARGARITA PKWY, SUITE 241, MISSION VIEJO, CA 92691-6704
(949) 859-1318
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D29737
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93019-01
DENTI-CAL ID
CA
Enumeration date
01/31/2007
Last updated
06/09/2008
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