Organization
LISA ANGELICI, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANGELICI DMD, MDS (DENTIST)
(714) 847-2650
Entity
Organization
Contact information
Practice address
18426 BROOKHURST ST STE 204, FOUNTAIN VALLEY, CA 92708-6777
(714) 847-2650
(714) 962-7300
Mailing address
18426 BROOKHURST ST STE 204, FOUNTAIN VALLEY, CA 92708-6777
(714) 847-2650
(714) 962-7300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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