Wilson Professional Dental Corporation

LBN: Wilson Professional Dental Corporation
Wilson Professional Dental Corporation is an health care organization with primary practice located at 31103 Rancho Viejo Rd Ste D5 , San Juan Capistrano CA 92675-1759. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Wilson Professional Dental Corporation can be contacted via phone (949) 661-3380, or through Wilson, Mandi Lynn via phone (903) 330-4661.

Contact Information

Primary practice address
31103 Rancho Viejo Rd Ste D5 San Juan Capistrano CA 92675-1759
Phone: (949) 661-3380
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Mandi Lynn Doctor of Dental Surgery (DDS)
Phone: (903) 330-4661

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1497312888
LBN Legal business name Wilson Professional Dental Corporation
DBA Doing business as
Authorized official Wilson, Mandi Lynn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2019
Last updated May 22nd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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