Individual
DR. CAROL LORRAINE DADERIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
32272 CAMINO CAPISTRANO STE C, SAN JUAN CAPISTRANO, CA 92675-3743
(949) 661-3594
(949) 661-0228
Mailing address
32272 CAMINO CAPISTRANO STE C, SAN JUAN CAPISTRANO, CA 92675-3743
(949) 661-3594
(949) 661-0228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036144
CA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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