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Organization
GUY R. MANCUSO, DDS, INC.
Active
Organization
GUY R. MANCUSO, DDS, INC.
Active
Other names
Twin Peaks Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY R MANCUSO D.D.S. (OWNER-DENTIST)
(858) 748-5815
Entity
Organization
Contact information
Practice address
14761 POMERADO RD, POWAY, CA 92064-2802
(858) 748-5815
(858) 748-6130
Mailing address
14761 POMERADO RD, POWAY, CA 92064-2802
(858) 748-5815
(858) 748-6130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30162
CA
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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