Periodontics, Oral and Facial Surgical Specialties
Periodontics, Oral and Facial Surgical Specialties is a Periodontics in Rancho Santa Margarita, California. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 4
Practice location Address checks out
29829 Santa Margarita Pkwy Ste 300Rancho Santa Margarita, CA 92688-3623
Phone: (949) 888-0332
Fax: (949) 888-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X |
|---|---|
| Periodontics | Taxonomy 1223P0300X |
| Dental Clinic/Center | Taxonomy 261QD0000X |
| Oral and Maxillofacial Surgery Clinic/Center | Taxonomy 261QS0112X |
Record details
| NPI number | 1386234284 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reza Bolourian — Owner · (949) 888-0332 |
| Other names | Orange County Oral Surgery And Periodontics |
| NPI enumerated | January 25, 2021 |
| Last updated in NPPES | January 25, 2021 |
| Certification date | January 25, 2021 |
| Mailing address | 29829 Santa Margarita Pkwy Ste 300, Rancho Santa Margarita, CA 92688-3623 |
Other providers in Rancho Santa Margarita
-
Dr. Kevin Kwonki Lee, DDS
22342 Avenida Empresa Ste 285, Rancho Santa Margarita, CA 92688-2162 · (949) 589-1150