| NPI | 1306229703 |
|---|---|
| Doing Business As | TIERRASANTA PLAZA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ALICE L VAN DYKEN Assistant Office Manager 858-278-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 44216) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-16 |