Organization
PACKARD DENTAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D. PACKARD D.M.D. (DR/OWNER)
(760) 729-4904
Entity
Organization
Contact information
Practice address
725 GRAND AVE, CARLSBAD, CA 92008-2331
(760) 729-4904
(760) 729-3132
Mailing address
725 GRAND AVE, CARLSBAD, CA 92008-2331
(760) 729-4904
(760) 729-3132
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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