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Organization
MECHAEL PROFESSIONAL DENTAL CORPORATION
Active
Organization
MECHAEL PROFESSIONAL DENTAL CORPORATION
Active
Other names
El Cajon Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHATHA FARAJ MECHAEL DDS (PRESIDENT/CEO)
(619) 466-1292
Entity
Organization
Contact information
Practice address
2720 FLETCHER PARKWAY, EL CAJON, CA 92020
(619) 466-1292
(619) 466-1561
Mailing address
2720 FLETCHER PARKWAY, EL CAJON, CA 92020
(619) 466-1292
(619) 466-1561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
31040
CA
1223G0001X
General Practice Dentistry
Primary
47950
CA
Other
Enumeration date
08/18/2006
Last updated
07/21/2009
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