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Organization
GULALAI MATIN D.D.S INC
Active
Organization
GULALAI MATIN D.D.S INC
Active
Parent organization
GULALAI MATIN D.D.S INC
Other names
Emerald Dental Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULALAI MATIN D.D.S INC
Authorized official
MRS. GULALAI MATIN DDS (OWNER)
(760) 722-0137
Entity
Organization
Contact information
Practice address
4645 FRAZEE RD STE A, OCEANSIDE, CA 92057-6152
(760) 722-0137
(760) 722-2696
Mailing address
4645 FRAZEE RD STE A, OCEANSIDE, CA 92057-6152
(760) 722-0137
(760) 722-2696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43199
CA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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