Individual
PAUL ALAN REGGIARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17742 BEACH BLVD, SUITE 320, HUNTINGTON BEACH, CA 92647-6818
(714) 848-0234
(714) 842-0773
Mailing address
17742 BEACH BLVD, SUITE 320, HUNTINGTON BEACH, CA 92647-6818
(714) 848-0234
(714) 842-0773
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20573
CA
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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