Organization
DANA POINT SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A EVANS (OFFICE MANAGER)
(949) 496-5713
Entity
Organization
Contact information
Practice address
24655 LA PLZ, SUITE E, DANA POINT, CA 92629-2583
(949) 496-5713
Mailing address
24655 LA PLZ, SUITE E, DANA POINT, CA 92629-2583
(949) 496-5713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29647
CA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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