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Organization
HURT DENTAL CORPORATION
Active
Organization
HURT DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALLEN HURT D.D.S. (OWNER/DENTIST)
(760) 734-4311
Entity
Organization
Contact information
Practice address
162 S RANCHO SANTA FE RD, SAN MARCOS, CA 92078-2502
(760) 734-4311
Mailing address
162 S RANCHO SANTA FE RD, SAN MARCOS, CA 92078-2502
(760) 734-4311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
122300000X
CA
305R00000X
Preferred Provider Organization
302F00000X
CA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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