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Organization
PORTILLA DENTAL GROUP
Active
Organization
PORTILLA DENTAL GROUP
Active
Other names
A Dental Spot
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD PORTILLA D.D.S. (OWNER)
(760) 738-8300
Entity
Organization
Contact information
Practice address
200 N ASH ST STE 200, ESCONDIDO, CA 92027-3024
(760) 738-8300
(760) 738-9400
Mailing address
200 N ASH ST STE 200, ESCONDIDO, CA 92027-3024
(760) 738-8300
(760) 738-9400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51989
CA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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