Organization
BALBOA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT AMTHOR DDS (OWNER)
(858) 412-5397
Entity
Organization
Contact information
Practice address
3737 MORAGA AVE STE B307, SAN DIEGO, CA 92117-5360
(858) 412-5397
Mailing address
3737 MORAGA AVE STE B307, SAN DIEGO, CA 92117-5360
(858) 412-5397
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
36725
CA
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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