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Wilson Professional Dental Corporation
Dental Clinic/Center in San Juan Capistrano, California
NPI 1497312888

Wilson Professional Dental Corporation is a Dental Clinic/Center based in Huntington Beach, CA and is specialized in Dental. Wilson Professional Dental Corporation practices in San Juan Capistrano, CA. The NPI Number for Wilson Professional Dental Corporation is 1497312888 and holds a License No. (California).

The current practice location address for Wilson Professional Dental Corporation is 31103 Rancho Viejo Rd Ste D5, San Juan Capistrano, CA and can be reached out via phone at 949-661-3380.

Location: 31103 Rancho Viejo Rd Ste D5, San Juan Capistrano, CA, 92648-8516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497312888
Provider Name
Wilson Professional Dental Corporation
Credential
Provider Entity Type
Organization
Address
31103 Rancho Viejo Rd Ste D5, San Juan Capistrano, CA, 92648-8516
Phone Number
949-661-3380
Fax Number
Provider Enumeration Date
05/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31103 Rancho Viejo Rd Ste D5
City
San Juan Capistrano
State
California
Zip
92675-1759
Phone Number
949-661-3380
Fax Number
person
Provider Business Mailing Address Details
Address
31103 Rancho Viejo Rd Ste D5
City
San Juan Capistrano
State
California
Zip
92675-1759
Phone Number
949-661-3380
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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