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Organization
MARQUEZ DENTAL INC
Active
Organization
MARQUEZ DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUADALUPE MARQUEZ D.D.S (PRESIDENT)
(619) 423-6116
Entity
Organization
Contact information
Practice address
2638 MAIN ST, SUITE J, CHULA VISTA, CA 91911-4623
(619) 423-6116
(619) 423-6149
Mailing address
2638 MAIN ST, SUITE J, CHULA VISTA, CA 91911-4623
(619) 423-6116
(619) 423-6149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3871601
DENTICAL
CA
Enumeration date
05/09/2007
Last updated
08/22/2020
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