# DR. TED A WASSEL, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ted A Wassel, DDS, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255346698
- **Authorized official:** DR. TED ALBERS WASSEL DDS (PRESIDENT/OWNER/DENTIST)
- **Authorized official phone:** (760) 744-1320

## Contact information

- **Practice address:** 1030 LA BONITA DRIVE, SUITE 322, SAN MARCOS, CA 92078
- **Practice address phone:** (760) 744-1919
- **Practice address fax:** (760) 744-4625
- **Mailing address:** 1030 LA BONITA DRIVE, SUITE 322, SAN MARCOS, CA 92078
- **Mailing address phone:** (760) 744-1919
- **Mailing address fax:** (760) 744-4625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 40040 | CA | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 07/25/2008