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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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