Organization
ALISO WOODS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLY GAIL BRUNDAGE (OFFICE MANAGER)
(949) 360-1213
Entity
Organization
Contact information
Practice address
27792 ALISO CREEK RD, B-170, ALISO VIEJO, CA 92656-3833
(949) 360-1213
(949) 360-7266
Mailing address
27792 ALISO CREEK RD, B-170, ALISO VIEJO, CA 92656-3833
(949) 360-1213
(949) 360-7266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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