Organization
CDM DENTAL CORP
Active
Other names
Corona Del Mar Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALEXANDER AGUILERA (PRESIDENT/DDS)
(949) 675-3131
Entity
Organization
Contact information
Practice address
2345 E COAST HWY STE C, CORONA DEL MAR, CA 92625-2034
(949) 675-3131
(949) 675-3112
Mailing address
2345 E COAST HWY STE C, CORONA DEL MAR, CA 92625-2034
(949) 675-3131
(949) 675-3112
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25114
CA
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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