RANDALL JASON EWING

SAN DIEGO, CA
NPI1548785926
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  DDS101708)
Enumeration Date2017-08-07
Last Update Date2021-01-08
Business Address
RANDALL JASON EWING DDS
3340 KEMPER ST STE 201
SAN DIEGO, CA 92110-4908
Phone number: 619-224-2828
Mailing Address
RANDALL JASON EWING DDS
6370 CAMINITO ANDRETA
SAN DIEGO, CA 92111-7205
Phone number: 619-610-8217