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Organization

HYDO, ANGELOPOULOS & MILLER DENTAL GROUP

Active
Other names
Great Smiles Pediatric Dentistry & Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRYSTAL L ANGELOPOULOS DMD (PARTNER)
(760) 944-5115
Entity
Organization

Contact information

Practice address
6010 HIDDEN VALLEY RD, SUITE #100, CARLSBAD, CA 92011-4213
(760) 944-5115
(760) 944-5226
Mailing address
6010 HIDDEN VALLEY RD, SUITE #100, CARLSBAD, CA 92011-4213
(760) 944-5115
(760) 944-5226

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
52708
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
41735
CA

Other

Enumeration date
04/28/2015
Last updated
04/28/2015
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