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Organization
MARITESSA I. MASANGYA DDS, INC.
Active
Organization
MARITESSA I. MASANGYA DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARITESSA MENDOZA MASANGYA (DDS/OWNER)
(619) 292-2996
Entity
Organization
Contact information
Practice address
2207 HIGHLAND AVE., SUITE 102, NATIONAL CITY, CA 91950-6905
(619) 292-2996
(619) 292-2571
Mailing address
2207 HIGHLAND AVE., SUITE 102, NATIONAL CITY, CA 91950-6905
(619) 292-2996
(619) 292-2571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
526520 OFFICE #01
DENTI-CAL
CA
Enumeration date
11/20/2014
Last updated
11/20/2014
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