South Coast Dental Specialties
NPI #1376766006 in Laguna Niguel, California
Provider Information
- NPI Number
- 1376766006
- Entity Type
- Organization
- Organization Name
- South Coast Dental Specialties
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 2, 2008
Practice Location
- Address
- 30140 TOWN CENTER DRIVE
- Address 2
- SUITE B
- City
- Laguna Niguel
- State
- California
- ZIP Code
- 92677
- Phone
- (949) 363-2540
Authorized Official
- Name
- MRS. MARY LYNN STAY
- Title
- OFFICE MANAGER
- Phone
- (949) 363-2540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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