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2775 Via De La Valle Ste 103 Del Mar CA 92014-1919 | |
| (858) 227-4916 | |
| (858) 947-3287 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2775 Via De La Valle Ste 103, Del Mar, California |
| Authorized Official Name and Position | Emma Madany (OFFICE MANAGER) |
| Authorized Official Contact | 8582274916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2775 Via De La Valle Ste 103 Del Mar CA 92014-1919 Ph: (858) 227-4916 | 2775 Via De La Valle Ste 103 Del Mar CA 92014-1919 Ph: (858) 227-4916 |
| NPI Number | 1306375936 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306375936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 62328 (California) | Primary |
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