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Organization
RANCHO SAN DIEGO DENTAL
Active
Organization
RANCHO SAN DIEGO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD P. WEINER DDS (OWNER)
(619) 670-5571
Entity
Organization
Contact information
Practice address
2648 JAMACHA RD, SUITE 166, EL CAJON, CA 92019-4346
(619) 670-5571
(619) 670-5592
Mailing address
2648 JAMACHA RD, SUITE 166, EL CAJON, CA 92019-4346
(619) 670-5571
(619) 670-5592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26243
CA
Other
Enumeration date
09/16/2006
Last updated
03/15/2012
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