Organization
MUIRLANDS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS ENRIQUE VELARDE DDS (DENTIST)
(949) 458-1012
Entity
Organization
Contact information
Practice address
23361 EL TORO RD STE#105, LAKE FOREST, CA 92630
(949) 458-1012
(949) 458-1013
Mailing address
23361 EL TORO RD STE 105, LAKE FOREST, CA 92630-4810
(949) 458-1012
(949) 458-1013
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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