Organization
SOUTH COAST DENTAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LYNN STAY (OFFICE MANAGER)
(949) 363-2540
Entity
Organization
Contact information
Practice address
30140 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
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/02/2008
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