Organization
MK SG DENTAL CORP
Active
Other names
Orange County Dental Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM GILANI DMD (CO-OWNER)
(949) 789-8989
Entity
Organization
Contact information
Practice address
15825 LAGUNA CANYON RD, 206, IRVINE, CA 92618-2125
(949) 789-8989
(949) 453-0970
Mailing address
18525 LAGUNA CANYON ROAD #206, IRVINE, CA 92618
(949) 789-8989
(949) 453-0970
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
CA
1223P0221X
Pediatric Dentistry
—
CA
1223P0300X
Periodontics
—
CA
1223P0700X
Prosthodontics
Primary
—
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
CA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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