| NPI | 1265613392 |
|---|---|
| Doing Business As | SAN CLEMENTE ADVANCED DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM CAPOBIANCO CEO 949-443-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39241) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2022-08-12 |