1st Dental Co Det Margarita

NPI 1003093568 - Clinic/Center - 261QD0000X

NPI Details
NPI 1003093568
Enumeration Date 01/28/2008
Last Updated 01/28/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LUANNE DENISE LUANNE
Position MEDICAL STAFF SERVICE PROFESSIONAL
Phone (760) 725-3213
Fax (760) 725-8223
Practice Location
14 STREET
BUILDING 13128
CAMP PENDLETON CA, 92055-5221, US
Phone (760) 725-3213
Fax (760) 725-8223
Business Location
PO BOX 555221
CAMP PENDLETON CA, 92055-5221, US
Phone (760) 725-3213
Fax (760) 725-8223
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
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According to our database, 1st Dental Co Det Margarita NPI is 1003093568, taxonomy code is 261QD0000X 1st Dental Co Det Margarita physically located at 14 Street, Camp Pendleton CA, 92055-5221. NPI Number 1033115704 has the healthcare provider type.

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1003093568 NPI number is provided on an as is basis without warranty of any kind. 1003093568 is maintained by the National Plan & Provider Enumeration System. The contents of 1st Dental Co Det Margarita are for informational purposes only.