Organization
RIAD DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZY MIKHAIL (OFFICE MANAGER)
(949) 273-8600
Entity
Organization
Contact information
Practice address
26700 TOWNE CENTRE DR STE 260, FOOTHILL RANCH, CA 92610-2846
(949) 273-8600
Mailing address
26700 TOWNE CENTRE DR STE 260, FOOTHILL RANCH, CA 92610-2846
(949) 273-8600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
100243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023468667
—
CA
Enumeration date
07/28/2017
Last updated
07/21/2022
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