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Organization
NELSON B MUSGRAVE DDS INC
Active
Organization
NELSON B MUSGRAVE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON B MUSGRAVE DDS (PRESIDENT/CEO)
(760) 741-5092
Entity
Organization
Contact information
Practice address
2302 BROWN ROAD, DENTAL DEPT, IMPERIAL, CA 92251-0731
(760) 733-7900
Mailing address
1357 HINRICHS WAY, ESCONDIDO, CA 92027-4136
(760) 741-5092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33819
CA
Other
Enumeration date
02/26/2007
Last updated
01/07/2008
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