Organization
ALLEN ONTIVEROS DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR ALLEN ONTIVEROS DDS (OWNER/DENTIST)
(949) 643-2803
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA STE 11C, LAGUNA HILLS, CA 92653-4344
(949) 643-2803
Mailing address
24953 PASEO DE VALENCIA STE 11C, LAGUNA HILLS, CA 92653-4344
(949) 643-2803
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
32751
CA
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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