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Organization
DOWNTOWN SD MODERN DENTISTRY DENTAL GROUP
Active
Organization
DOWNTOWN SD MODERN DENTISTRY DENTAL GROUP
Active
Other names
Do and Pham Dental Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA S DO-YABUT DMD (OWNER DOCTOR)
(619) 850-2550
Entity
Organization
Contact information
Practice address
435 4TH AVENUE, SAN DIEGO, CA 92101
(619) 850-2550
(619) 239-1355
Mailing address
17000 RED HILL AVENUE, IRVINE, CA 92614
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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