Organization
SAN DIEGO SPECIALTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NEEDLE DDS (MANAGING DOCTOR)
(619) 293-3352
Entity
Organization
Contact information
Practice address
5638 MISSION CENTER RD, #105, SAN DIEGO, CA 92108-4348
(619) 293-3352
(619) 293-0708
Mailing address
5638 MISSION CENTER RD, #105, SAN DIEGO, CA 92108-4348
(619) 293-3352
(619) 293-0708
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
23856
CA
Other
Enumeration date
07/03/2007
Last updated
11/02/2010
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