IDA DELOS SANTOS ALFONSO

CARLSBAD, CA
NPI1457526568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  53572)
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
-- IDA DELOS SANTOS ALFONSO
5814 VAN ALLEN WAY STE 205
CARLSBAD, CA 92008-7360
Phone number: 760-931-0144
Mailing Address
-- IDA DELOS SANTOS ALFONSO
5814 VAN ALLEN WAY SUITE #205
CARLSBAD, CA 92008
Phone number: 760-931-0144
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