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Organization
INTEGRATED DENTAL SPECIALTIES, INC
Active
Organization
INTEGRATED DENTAL SPECIALTIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY TRONG HOANG D.D.S. (PRESIDENT)
(714) 943-5364
Entity
Organization
Contact information
Practice address
1356 W VALLEY PKWY, SUITE J, ESCONDIDO, CA 92029-2138
(760) 233-5887
Mailing address
26273 PALM TREE LN, MURRIETA, CA 92563-7302
(760) 233-2260
(760) 233-8038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47626
CA
Other
Enumeration date
07/20/2011
Last updated
03/21/2013
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