| Ted A Wassel, Dds, Inc | |
|
1030 La Bonita Drive Suite 322 San Marcos CA 92078 | |
| (760) 744-1919 | |
| (760) 744-4625 |
| Full Name | Ted A Wassel, Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1030 La Bonita Drive, San Marcos, California |
| Authorized Official Name and Position | Ted Albers Wassel (PRESIDENT/OWNER/DENTIST) |
| Authorized Official Contact | 7607441320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ted A Wassel, Dds, Inc 1030 La Bonita Drive Suite 322 San Marcos CA 92078 Ph: (760) 744-1919 | Ted A Wassel, Dds, Inc 1030 La Bonita Drive Suite 322 San Marcos CA 92078 Ph: (760) 744-1919 |
| NPI Number | 1255346698 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255346698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40040 (California) | Primary |
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