Organization
EDWARD SALL DENTAL CORPORATION
Active
Other names
Todd Morgan Dental Corporation, SleepAlliance, an Edward Sall Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD TRACY SALL (PRESIDENT)
(858) 987-7888
Entity
Organization
Contact information
Practice address
5471 KEARNY VILLA RD STE 201, SAN DIEGO, CA 92123-1143
(858) 987-7888
(619) 299-6222
Mailing address
5471 KEARNY VILLA RD STE 201, SAN DIEGO, CA 92123-1143
(858) 987-7888
(619) 299-6222
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104553
DENTAL BOARD OF CALIFORNIA
CA
01
—
C3761211
CALIFORNIA SECRETARY OF STATE
CA
Enumeration date
02/02/2017
Last updated
08/24/2021
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