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Organization
MARK J RIEDLER DDS PC
Active
Organization
MARK J RIEDLER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JASON RIEDLER DDS (OWNER)
(619) 281-6635
Entity
Organization
Contact information
Practice address
4167 OHIO ST, SAN DIEGO, CA 92104
(617) 281-6635
(619) 281-7148
Mailing address
4167 OHIO ST, SAN DIEGO, CA 92104
(617) 281-6635
(619) 281-7148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
028072
CA
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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