Provider Demographics
NPI:1376316760
Name:N.GAFF DENTAL CORP
Entity Type:Organization
Organization Name:N.GAFF DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GAFF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:949-290-6832
Mailing Address - Street 1:30262 CROWN VALLEY PKWY STE B416
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2364
Mailing Address - Country:US
Mailing Address - Phone:949-363-1200
Mailing Address - Fax:
Practice Address - Street 1:30231 GOLDEN LANTERN STE D
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-5989
Practice Address - Country:US
Practice Address - Phone:949-363-1200
Practice Address - Fax:949-363-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty