Individual
DANIEL JEFFREY LONGACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30131 TOWN CENTER DR, SUITE 150, LAGUNA NIGUEL, CA 92677-2034
(949) 495-2000
(949) 495-1464
Mailing address
30131 TOWN CENTER DR, SUITE 150, LAGUNA NIGUEL, CA 92677-2034
(949) 495-2000
(949) 495-1464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28032
CA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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