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Individual

DR. JONATHAN DAVID ALBAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.B.A

Contact information

Practice address
30 MAIN ST STE G-140, VISTA, CA 92083-5860
(760) 527-2846
(760) 842-0430
Mailing address
30 MAIN ST STE G-140, VISTA, CA 92083-5860
(760) 527-2846
(760) 842-0430

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22262
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6142
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63587
CA

Other

Enumeration date
05/04/2009
Last updated
10/24/2022
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