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Organization
SIA-ZOL, INC.
Active
Organization
SIA-ZOL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEA MARIA SIA-ZOLINA DDS (DENTIST)
(858) 536-7005
Entity
Organization
Contact information
Practice address
9330 MIRA MESA BLVD STE F, SAN DIEGO, CA 92126-4822
(858) 536-7005
(858) 536-7006
Mailing address
9330 MIRA MESA BLVD STE F, SAN DIEGO, CA 92126-4822
(858) 536-7005
(858) 536-7006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44085
STATE LICENSE
CA
01
—
666874
PROVIDER NO. UNITED CONCO
—
Enumeration date
10/16/2006
Last updated
02/12/2016
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