Michael Dacosta

NPI #1740637842 in Laguna Niguel, California

Provider Information

NPI Number: 1740637842
Entity Type: Individual
Name: Michael Dacosta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 28862 CALLE VISTA
City: Laguna Niguel
State: California
ZIP Code: 92677
Phone: (949) 916-9082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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