Individual
DR. TRENT HOWARD WESTERNOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS DMD MD
Contact information
Practice address
30190 TOWN CENTER DRIVE, SUITE B, LAGUNA NIGUEL, CA 92677
(949) 363-2540
(949) 363-3352
Mailing address
30190 TOWN CENTER DRIVE, SUITE B, LAGUNA NIGUEL, CA 92677
(949) 363-2540
(949) 363-3352
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19775
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22087
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
55703
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
M0604
TX
Other
Enumeration date
03/17/2006
Last updated
10/30/2024
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