Ghibu Dental Corporation
Dentist, General Practice in San Juan Capistrano, CA. Organization (NPI-2).
NPI number1699514810
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1699514810
- Entity type
- Organization (NPI-2)
- Legal business name
- Ghibu Dental Corporation
- Organization subpart
- No
- Enumeration date
- May 20, 2024
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
32391 Camino CapistranoSan Juan Capistrano, CA 92675-4519
Phone 949-404-5619
Mailing address
Po Box 920050Dallas, TX 75392-0050
Authorized official
Tina Ghibu
Owner
7148458500
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