# DR ROLAND GOLDBERG DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316473267
- **Authorized official:** ROLAND GOLDBERG DDS (OWNER)
- **Authorized official phone:** (858) 558-7713

## Contact information

- **Practice address:** 8915 TOWNE CENTRE DR \# 112-114, SAN DIEGO, CA 92122-5650
- **Practice address phone:** (858) 558-7713
- **Practice address fax:** (858) 558-7849
- **Mailing address:** 8915 TOWNE CENTRE DR \# 112-114, SAN DIEGO, CA 92122-5650
- **Mailing address phone:** (858) 558-7713
- **Mailing address fax:** (858) 558-7849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 42319 | CA | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017