Organization
RW IMPLANTS & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOHANY RIBEROS (MANAGER)
(949) 240-4337
Entity
Organization
Contact information
Practice address
31654 RANCHO VIEJO RD STE I-1, SAN JUAN CAPISTRANO, CA 92675-6754
(949) 240-4337
(949) 240-7337
Mailing address
31654 RANCHO VIEJO RD STE I-1, SAN JUAN CAPISTRANO, CA 92675-6754
(949) 240-4337
(949) 240-7337
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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