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Organization
DIAGDENTAL PROFESSIONAL CORPORATION
Active
Organization
DIAGDENTAL PROFESSIONAL CORPORATION
Active
Other names
SAN CITY DENTAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BAYAT DDS (PRESIDENT)
(949) 370-0739
Entity
Organization
Contact information
Practice address
523 E SAN YSIDRO BLVD, SAN DIEGO, CA 92173-3110
(858) 263-6494
Mailing address
523 E SAN YSIDRO BLVD, SAN DIEGO, CA 92173-3110
(949) 370-0739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
03/01/2022
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