Healthcare Provider Details

I. General information

NPI: 1164655106
Provider Name (Legal Business Name): MARGARET CLAIRE HUFFMAN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET CLAIRE PORTER D.D.S.

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 08/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23412 PACIFIC PARK DR UNIT 20 L
ALISO VIEJO CA
92656-5373
US

IV. Provider business mailing address

23412 PACIFIC PARK DRIVE UNIT 20 L
ALISO VIEJO CA
92656
US

V. Phone/Fax

Practice location:
  • Phone: 949-215-1714
  • Fax:
Mailing address:
  • Phone: 949-215-1714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number35272
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: