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Organization
PENASQUITOS DENTAL
Active
Organization
PENASQUITOS DENTAL
Active
Other names
sddentalspecialist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK MAC (DOCTOR)
(240) 383-7623
Entity
Organization
Contact information
Practice address
8534 HOPSEED LN, SAN DIEGO, CA 92129-4166
(240) 383-7623
Mailing address
8534 HOPSEED LN, SAN DIEGO, CA 92129-4166
(240) 383-7623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48357
CA
Other
Enumeration date
11/24/2014
Last updated
12/28/2021
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