| San Diego Dentistry Studio | |
|
11610 Iberia Pl Ste 202 San Diego CA 92128-2453 | |
| (858) 451-2555 | |
| Not Available |
| Full Name | San Diego Dentistry Studio |
|---|---|
| Speciality | Dentist |
| Location | 11610 Iberia Pl Ste 202, San Diego, California |
| Authorized Official Name and Position | Timothy R Garofolo (OWNER/DENTIST) |
| Authorized Official Contact | 8584512555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Dentistry Studio 11610 Iberia Pl Ste 202 San Diego CA 92128-2453 Ph: (858) 451-2555 | San Diego Dentistry Studio 11610 Iberia Pl Ste 202 San Diego CA 92128-2453 Ph: (858) 451-2555 |
| NPI Number | 1043627318 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 07/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043627318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50912 (California) | Primary |
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