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Organization
BEATRIZ VIDALES DDS ORTHODONTICS, INC
Active
Organization
BEATRIZ VIDALES DDS ORTHODONTICS, INC
Active
Other names
Ortho Smile
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ VIDALES (DENTIST)
(760) 744-0004
Entity
Organization
Contact information
Practice address
744 GRAND AVE, SAN MARCOS, CA 92078-1225
(760) 744-0004
(760) 744-0001
Mailing address
744 GRAND AVE, SAN MARCOS, CA 92078-1225
(760) 744-0004
(760) 744-0001
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
45212
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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