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Organization
PACKARD DENTAL PARTNERSHIP
Active
Organization
PACKARD DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW S PACKARD DDS (CO OWNER)
(760) 729-4904
Entity
Organization
Contact information
Practice address
1281 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1950
(760) 729-4904
(760) 729-3132
Mailing address
1281 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1950
(760) 729-4904
(760) 729-3132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60498
CA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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