Organization
ASIL DENTAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA O ASIL (OFFICE MANAGER)
(949) 481-2000
Entity
Organization
Contact information
Practice address
390 CAMINO DE ESTRELLA, SAN CLEMENTE, CA 92672-4859
(949) 481-2000
(949) 481-2411
Mailing address
390 CAMINO DE ESTRELLA, SAN CLEMENTE, CA 92672-4859
(949) 481-2000
(949) 481-2411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52710
CA
1223E0200X
Endodontics
56645
CA
1223P0300X
Periodontics
49560
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
52200
CA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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