Organization
MICHAEL D. MINNICH, DDS, MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID MINNICH DDS, MS (OWNER)
(760) 721-1552
Entity
Organization
Contact information
Practice address
713 SEAGAZE DR, OCEANSIDE, CA 92054-3006
(760) 721-1552
Mailing address
713 SEAGAZE DR, OCEANSIDE, CA 92054-3006
(760) 721-1552
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35432
CA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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