| NPI | 1235486390 |
|---|---|
| Doing Business As | TIERRASANTA PLAZA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ALICE L VAN DYKEN Office Manager 858-278-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29728) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |