| NPI | 1477799799 |
|---|---|
| Doing Business As | CORONA DEL MAR DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER AGUILERA President/Dds 949-675-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 25114) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |