Individual
DR. DANA GHORAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
801 AVENIDA TALEGA, SUITE 105, SAN CLEMENTE, CA 92673-6532
(949) 218-1404
Mailing address
801 AVENIDA TALEGA, SUITE 105, SAN CLEMENTE, CA 92673-6532
(949) 218-1404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54959
CA
Other
Enumeration date
02/27/2008
Last updated
10/14/2010
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