NPI | 1083709851 |
---|---|
Doing Business As | SOUTH OCEANSIDE DENTAL GROUP AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JENNIFER JUDGE Owner Dmd 760-439-0334 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2006-10-04 |
Last Update Date | 2013-08-19 |