GRAND LEGACY DENTAL

SAN DIEGO, CA
NPI1932079878
Entity TypeOrganization
Authorized ContactEVAN DEMKO
Dentist
619-234-7493
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2025-11-06
Last Update Date2025-11-06
Business Address
GRAND LEGACY DENTAL
2654 4TH AVE
SAN DIEGO, CA 92103-6515
Phone number: 619-234-7493
Mailing Address
GRAND LEGACY DENTAL
2654 4TH AVE
SAN DIEGO, CA 92103-6515
Phone number: 619-234-7493
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