| NPI | 1053448993 |
|---|---|
| Doing Business As | TWIN PEAKS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GUY R MANCUSO Owner Dentist 858-748-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30162) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |