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Organization
PLATINUM DENTAL, INC
Active
Organization
PLATINUM DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONNY V ESLAMPOUR DDS (DENTIST)
(760) 510-9009
Entity
Organization
Contact information
Practice address
555 S RANCHO SANTA FE RD, SUITE 100, SAN MARCOS, CA 92078-3698
(760) 510-9009
(760) 510-8008
Mailing address
555 S RANCHO SANTA FE RD, SUITE 100, SAN MARCOS, CA 92078-3698
(760) 510-9009
(760) 510-8008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
44045
CA
1223G0001X
General Practice Dentistry
Primary
44585
CA
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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