MATTHEW DESIDERIO

LA MESA, CA
NPI1851915789
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  106958)
Enumeration Date2020-06-06
Last Update Date2021-09-24
Business Address
Dr. MATTHEW DESIDERIO DMD
3767 AVOCADO BLVD
LA MESA, CA 91941-7301
Phone number: 619-729-2323
Mailing Address
Dr. MATTHEW DESIDERIO DMD
424 15TH ST APT 1504
SAN DIEGO, CA 92101-7698
Phone number: 609-781-5660