Integrated Dental Specialties, Inc

NPI 1184912339 - Dentist - 122300000X

NPI Details
NPI 1184912339
Enumeration Date 07/20/2011
Last Updated 03/21/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ANDY TRONG ANDY
Position PRESIDENT
Phone (760) 233-5887
Fax
Practice Location
1356 W VALLEY PKWY
SUITE J
ESCONDIDO CA, 92029-2138, US
Phone (760) 233-5887
Fax
Business Location
26273 PALM TREE LN
MURRIETA CA, 92563-7302, US
Phone (760) 233-2260
Fax (760) 233-8038
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 47626
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According to our database, Integrated Dental Specialties, Inc NPI is 1184912339, taxonomy code is 122300000X and license number is 47626, license state is located at California. Integrated Dental Specialties, Inc physically located at 1356 W Valley Pkwy, Escondido CA, 92029-2138. NPI Number 1033115704 has the healthcare provider type.

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1184912339 NPI number is provided on an as is basis without warranty of any kind. 1184912339 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Dental Specialties, Inc are for informational purposes only.