| Ralph L. Raya, D.d.s., Inc Dba Tierrasanta Plaza Dental Care | |
|
10715 Tierrasanta Blvd Suite C San Diego CA 92124-2610 | |
| (858) 278-6444 | |
| (858) 279-6444 |
| Full Name | Ralph L. Raya, D.d.s., Inc Dba Tierrasanta Plaza Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10715 Tierrasanta Blvd, San Diego, California |
| Authorized Official Name and Position | Norman Dale Mittleman (PRESIDENT) |
| Authorized Official Contact | 8583541229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph L. Raya, D.d.s., Inc Dba Tierrasanta Plaza Dental Care Po Box 8890 Rancho Santa Fe CA 92067-8890 Ph: (858) 354-1229 | Ralph L. Raya, D.d.s., Inc Dba Tierrasanta Plaza Dental Care 10715 Tierrasanta Blvd Suite C San Diego CA 92124-2610 Ph: (858) 278-6444 |
| NPI Number | 1699040659 |
|---|---|
| Provider Enumeration Date | 03/09/2012 |
| Last Update Date | 04/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699040659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 23939 (California) | Primary |
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