NPI | 1699874925 |
---|---|
Doing Business As | SAN MARCOS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DARIN S REAGAN Owner Dds 760-746-2045 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-09-22 |
Last Update Date | 2009-10-22 |