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Organization
JOSE M DUENES A PROFESSIONAL DENTAL CORP DBA MIRA COSTA DENTAL
Active
Organization
JOSE M DUENES A PROFESSIONAL DENTAL CORP DBA MIRA COSTA DENTAL
Active
Other names
Mira Costa Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE M DUENES DDS (OWNER PRESIDENT)
(760) 941-7502
Entity
Organization
Contact information
Practice address
3502 COLLEGE BLVD, STE B, OCEANSIDE, CA 92056
(760) 941-7502
(760) 940-2704
Mailing address
3502 COLLEGE BLVD, STE B, OCEANSIDE, CA 92056
(760) 941-7502
(760) 940-2704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35047
CA
Other
Enumeration date
07/19/2007
Last updated
07/17/2008
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