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Organization
HOWARD P. DAMBROSE, D.D.S., INC.
Active
Organization
HOWARD P. DAMBROSE, D.D.S., INC.
Active
Other names
Dependents Dental Center of Howard P. Dambrose, DDS, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD PARKER DAMBROSE D.D.S. (PRESIDENT)
(858) 278-6444
Entity
Organization
Contact information
Practice address
10715 TIERRASANTA BLVD, STE C, SAN DIEGO, CA 92124-2610
(858) 278-6444
(858) 279-6444
Mailing address
10715 TIERRASANTA BLVD, STE C, SAN DIEGO, CA 92124-2610
(858) 278-6444
(858) 279-6444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000753449
TRICARE-TDP (UCCI)
CA
01
—
37409
DELTA DENTAL
CA
01
—
B37409-01
DENTI-CAL
CA
Enumeration date
05/24/2005
Last updated
08/17/2018
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