Provider Demographics
NPI:1346323284
Name:VALI, MEGAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:VALI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31655 COAST HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-7018
Mailing Address - Country:US
Mailing Address - Phone:949-499-8155
Mailing Address - Fax:949-499-8157
Practice Address - Street 1:31655 COAST HWY
Practice Address - Street 2:SUITE B
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-7018
Practice Address - Country:US
Practice Address - Phone:949-499-8155
Practice Address - Fax:949-499-8157
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA418031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice