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Organization
REAL DENTAL CORP
Active
Organization
REAL DENTAL CORP
Active
Other names
Real Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS REAL DDS (PRESIDENT/DENTIST)
(619) 425-2122
Entity
Organization
Contact information
Practice address
690 E ST, CHULA VISTA, CA 91910-2113
(619) 425-2122
(619) 425-2125
Mailing address
690 E ST, CHULA VISTA, CA 91910-2113
(619) 425-2122
(619) 425-2125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52460
CA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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