| NPI | 1497870067 |
|---|---|
| Doing Business As | FAMILY DENTAL PRACTICE OF SAN MARCOS |
| Entity Type | Organization |
| Authorized Contact | PETER BA DUC NGUYEN Dentist 760-597-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47536) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-07-09 |