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1740637842
MICHAEL DACOSTA
LAGUNA NIGUEL, CA
NPI
1740637842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 31889)
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
-- MICHAEL DACOSTA
28862 CALLE VISTA
LAGUNA NIGUEL, CA 92677
Phone number: 949-916-9082
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Mailing Address
-- MICHAEL DACOSTA
28862 CALLE VISTA
LAGUNA NIGUEL, CA 92677
Phone number: 949-916-9082
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