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Organization
PHILIP G. MENNA
Active
Organization
PHILIP G. MENNA
Active
Parent organization
PHILIP G. MENNA, D.D.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHILIP G. MENNA, D.D.S.
Authorized official
DR. PHILIP G MENNA D.D.S. (DENTIST)
(619) 220-7000
Entity
Organization
Contact information
Practice address
4002 PARK BLVD STE D, SAN DIEGO, CA 92103-2600
(619) 220-7000
(619) 220-7010
Mailing address
PO BOX 33838, SAN DIEGO, CA 92163-3838
(619) 220-7000
(619) 220-7010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21613
CA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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