| Deyo Dental Corporation | |
|
960 W San Marcos Blvd Ste 100 San Marcos CA 92078-1122 | |
| (310) 913-9013 | |
| Not Available |
| Full Name | Deyo Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 960 W San Marcos Blvd Ste 100, San Marcos, California |
| Authorized Official Name and Position | Laura Deyo (ORTHODONTIST) |
| Authorized Official Contact | 3109139013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deyo Dental Corporation 1293 Holmgrove Dr San Marcos CA 92078-2800 Ph: () - | Deyo Dental Corporation 960 W San Marcos Blvd Ste 100 San Marcos CA 92078-1122 Ph: (310) 913-9013 |
| NPI Number | 1154159408 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154159408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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