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Organization
LA COSTA DENTAL GROUP
Active
Organization
LA COSTA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA M PIGEON (OFFICE MANAGER)
(760) 436-2452
Entity
Organization
Contact information
Practice address
501 N EL CAMINO REAL, STE 200, ENCINITAS, CA 92024
(760) 436-2452
(760) 436-6256
Mailing address
501 N EL CAMINO REAL, STE 200, ENCINITAS, CA 92024
(760) 436-2452
(760) 436-6256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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