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Organization
DE LUNA DENTAL CORPORATION
Active
Organization
DE LUNA DENTAL CORPORATION
Active
Parent organization
DE LUNA DENTAL CORPORATION
Other names
Grand Smiles Family and Cosmetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DE LUNA DENTAL CORPORATION
Authorized official
DR. JOSE EMMANUEL RUBIO DE LUNA D.D.S. (DR. AND PRESIDENT)
(760) 734-6829
Entity
Organization
Contact information
Practice address
3643 GRAND AVE STE D, SAN MARCOS, CA 92078-2336
(760) 734-6829
(760) 734-6839
Mailing address
3643 GRAND AVE STE D, SAN MARCOS, CA 92078-2336
(760) 734-6829
(760) 734-6839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47711
CA
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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