| Jonathan D Albaugh Dmd Inc | |
|
30 Main St Ste G-140 Vista CA 92083-5860 | |
| (760) 527-2846 | |
| (760) 842-0430 |
| Full Name | Jonathan D Albaugh Dmd Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 30 Main St Ste G-140, Vista, California |
| Authorized Official Name and Position | Jonathan David Albaugh (OWNER) |
| Authorized Official Contact | 7605272846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan D Albaugh Dmd Inc 30 Main St Ste G-140 Vista CA 92083-5860 Ph: (760) 527-2846 | Jonathan D Albaugh Dmd Inc 30 Main St Ste G-140 Vista CA 92083-5860 Ph: (760) 527-2846 |
| NPI Number | 1659906055 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659906055 | NPI | - | NPPES |
| 1225262371 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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