| NPI | 1699137703 |
|---|---|
| Doing Business As | SEASIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINDA BRIGHT Office Manager 858-742-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 60260) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |