| Maritessa I. Masangya Dds, Inc. | |
|
2207 Highland Ave. Suite 102 National City CA 91950-6905 | |
| (619) 292-2996 | |
| (619) 292-2571 |
| Full Name | Maritessa I. Masangya Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2207 Highland Ave., National City, California |
| Authorized Official Name and Position | Maritessa Mendoza Masangya (DDS/OWNER) |
| Authorized Official Contact | 6192922996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maritessa I. Masangya Dds, Inc. 2207 Highland Ave. Suite 102 National City CA 91950-6905 Ph: (619) 292-2996 | Maritessa I. Masangya Dds, Inc. 2207 Highland Ave. Suite 102 National City CA 91950-6905 Ph: (619) 292-2996 |
| NPI Number | 1548667470 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 11/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548667470 | NPI | - | NPPES |
| 526520 OFFICE #01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47946 (California) | Primary |
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