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Organization
GRANITE HILLS DENTAL TEAM
Active
Organization
GRANITE HILLS DENTAL TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE PEARISO (OFFICE MANAGER)
(619) 579-0233
Entity
Organization
Contact information
Practice address
810 JAMACHA RD, SUITE #104, EL CAJON, CA 92019-6218
(619) 579-0233
(619) 579-0691
Mailing address
810 JAMACHA RD, SUITE #104, EL CAJON, CA 92019-6218
(619) 579-0233
(619) 579-0691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52948
CA
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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