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ALICIA PKWY DENTAL NPI 1598168759


NPI Information

NPI: 1598168759
Provider Name: ALICIA PKWY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
25401 ALICIA PKWY STE J
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 587-3010
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ALICIA PKWY DENTAL is a general practice dentist in Laguna Hills, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ALICIA PKWY DENTAL NPI is 1598168759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25401 ALICIA PKWY STE J
LAGUNA HILLS, CA
ZIP 92653-958
Phone: (949) 587-3010
Fax: (949) 215-3757

The provider's authorized official is Matt G Farzin .
The authorized official title is Owner and has the following contact phone number (949) 587-3010.

The enumeration date for this NPI number is 10/2/2014 and was last updated on 10/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice53595CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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