Organization
DEANNA RISOS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA B RISOS D.M.D. (OWNER/DOCTOR)
(619) 482-8880
Entity
Organization
Contact information
Practice address
841 KUHN DR STE 102, CHULA VISTA, CA 91914-4523
(619) 482-8880
(619) 482-0099
Mailing address
841 KUHN DR STE 102, CHULA VISTA, CA 91914-4523
(619) 482-8880
(619) 482-0099
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
50416
CA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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