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ROBERT T CADALSO JR PROFESSIONAL DENTAL CORPORATION NPI 1265853881


NPI Information

NPI: 1265853881
Provider Name: ROBERT T CADALSO JR PROFESSIONAL DENTAL CORPORATION

Doing Business As: GENESIS DENTAL GROUP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
24896 CHRISANTA DR
STE 110
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 770-5266
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ROBERT T CADALSO JR PROFESSIONAL DENTAL CORPORATION is a dental clinic center in Mission Viejo, CA. ROBERT T CADALSO JR PROFESSIONAL DENTAL CORPORATION NPI is 1265853881. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesis Dental Group.

The provider's business location address is:

24896 CHRISANTA DR
STE 110
MISSION VIEJO, CA
ZIP 92691-800
Phone: (949) 770-5266
Fax: (949) 770-7534

The provider's authorized official is Robert Tomas Cadalso .
The authorized official title is President and has the following contact phone number (949) 770-5266.

The enumeration date for this NPI number is 12/27/2013 and was last updated on 8/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental30639CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17008550001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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