Pelican Point Dental

NPI #1033606991 in San Juan Capistrano, California

Provider Information

NPI Number: 1033606991
Entity Type: Organization
Organization Name: Pelican Point Dental
Primary Specialty: Dentist - Dental Public Health
Enumeration Date: Apr 17, 2018
Last Updated: Apr 17, 2018

Practice Location

Address: 31103 RANCHO VIEJO ROAD STE D2444
City: San Juan Capistrano
State: California
ZIP Code: 92675
Phone: (562) 964-0877

Authorized Official

Name: DR. NICOLE ELIZABETH KUSKE, DDS
Title: DENTIST
Phone: (562) 964-0877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X
Dentist - Dental Public Health — Dental Public Health	1223D0001X	Primary

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