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Organization
KIMBALL DENTAL GROUP OF MISSION VALLEY, PC
Active
Organization
KIMBALL DENTAL GROUP OF MISSION VALLEY, PC
Active
Other names
Rio Vista Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TWYLA M PARDON (REGIONAL DIRECTOR OF OPERATIONS)
(714) 420-0952
Entity
Organization
Contact information
Practice address
8590 RIO SAN DIEGO DR STE 110, SAN DIEGO, CA 92108-5597
(619) 299-1122
Mailing address
31972 COAST HWY STE 300, LAGUNA BEACH, CA 92651-6762
(714) 420-0952
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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