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Organization

J.D. DE LORME, D.D.S., INC

Active
Other names
South OC Pediatric Dentistry & Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN DENNIS DE LORME JR. D.D.S. (DENTIST/OWNER)
(949) 581-5800
Entity
Organization

Contact information

Practice address
26302 LA PAZ RD, STE 114, MISSION VIEJO, CA 92691-5327
(949) 581-5800
(949) 581-6794
Mailing address
26302 LA PAZ RD, STE 114, MISSION VIEJO, CA 92691-5327
(949) 581-5800
(949) 581-6794

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
O-118872-L
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B2321401
DENTICAL
CA
05
D23214
CA
Enumeration date
06/20/2005
Last updated
09/05/2019
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