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CDM DENTAL CORP NPI 1477799799


NPI Information

NPI: 1477799799
Provider Name: CDM DENTAL CORP

Doing Business As: CORONA DEL MAR DENTAL GROUP

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2345 E COAST HWY STE C
CORONA DEL MAR, CA
ZIP 92625
Phone: (949) 675-3131
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CDM DENTAL CORP is a preferred provider organization in Corona Del Mar, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. CDM DENTAL CORP NPI is 1477799799. The provider is registered as an organization entity type.
The provider Is Doing Business As Corona Del Mar Dental Group.

The provider's business location address is:

2345 E COAST HWY STE C
CORONA DEL MAR, CA
ZIP 92625-034
Phone: (949) 675-3131
Fax: (949) 675-3112

The provider's authorized official is John Alexander Aguilera .
The authorized official title is President/dds and has the following contact phone number (949) 675-3131.

The enumeration date for this NPI number is 12/17/2008 and was last updated on 12/17/2008.


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
1305R00000XPreferred Provider Organization25114CALIFORNIAYes

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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