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Organization
REYES GARCIA & O'CONNOR DENTAL, INC.
Active
Organization
REYES GARCIA & O'CONNOR DENTAL, INC.
Active
Other names
Melrose Dental & Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULETTE LOUISE O'CONNOR DDS (PRESIDENT)
(760) 598-7565
Entity
Organization
Contact information
Practice address
1631 S MELROSE DR STE I, VISTA, CA 92081-2405
(760) 598-7565
(760) 598-7565
Mailing address
1611 S. MELROSE DR., STE. A #257, VISTA, CA 92081
(760) 598-7565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
07/12/2020
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