Castaneda Fassioli Dental Corp
NPI #1598270993 in Lake Forest, California
Provider Information
- NPI Number
- 1598270993
- Entity Type
- Organization
- Organization Name
- Castaneda Fassioli Dental Corp
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 7, 2017
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 22706 ASPAN ST STE 602
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-1603
- Phone
- (949) 716-7000
Authorized Official
- Name
- CAROLYN ELIZABETH CASTANEDA FASSIOLI, DDS
- Title
- CEO
- Phone
- (949) 716-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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