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1457957185
PORTILLA DENTAL GROUP CORP
ESCONDIDO, CA
NPI
1457957185
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Entity Type
Organization
Authorized Contact
HAROLD IGNACIO PORTILLA
President Owner
760-738-8300
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
PORTILLA DENTAL GROUP CORP
200 N ASH ST STE 200
ESCONDIDO, CA 92027-3024
Phone number: 760-738-8300
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Mailing Address
PORTILLA DENTAL GROUP CORP
200 N ASH ST STE 200
ESCONDIDO, CA 92027-3024
Phone number: 760-738-8300
Copy
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