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Organization
IMELDA HILDA DAVID DMD INC
Active
Organization
IMELDA HILDA DAVID DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMELDA HILDA DAVID DMD (PRESIDENT)
(619) 583-7720
Entity
Organization
Contact information
Practice address
5059 EL CAJON BLVD, SAN DIEGO, CA 92115-3348
(619) 583-7720
(619) 583-7722
Mailing address
11818 AVENIDA MARCELLA, EL CAJON, CA 92019-4060
(619) 277-7728
(619) 660-2138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104014497
—
CA
Enumeration date
05/31/2012
Last updated
06/04/2012
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