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Organization
GRAND PLAZA DENTAL GROUP
Active
Organization
GRAND PLAZA DENTAL GROUP
Active
Other names
Patton Dental Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS D PATTON DDS (DENTIST AND OWNER)
(858) 560-1461
Entity
Organization
Contact information
Practice address
137 S LAS POSAS RD STE 250, SAN MARCOS, CA 92078-2470
(760) 752-7000
Mailing address
3253 MOUNT TAMI DR, SAN DIEGO, CA 92111-4634
(858) 560-1461
(858) 560-2001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G8996301
—
CA
Enumeration date
06/06/2007
Last updated
06/18/2008
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