Organization
ROBERT T CADALSO JR PROFESSIONAL DENTAL CORPORATION
Active
Other names
Genesis Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT TOMAS CADALSO JR. D. D.S. (PRESIDENT)
(949) 770-5266
Entity
Organization
Contact information
Practice address
24896 CHRISANTA DR, STE 110, MISSION VIEJO, CA 92691-4800
(949) 770-5266
(949) 770-7534
Mailing address
24896 CHRISANTA DR, SUITE 110, MISSION VIEJO, CA 92691-4800
(949) 770-5266
(949) 770-7534
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30639
CA
Other
Enumeration date
12/27/2013
Last updated
08/22/2014
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