Individual
DAVID CORNEJO NORIEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
Mailing address
4411 BRAEBURN RD, SAN DIEGO, CA 92116-2127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48159
CA
Other
Enumeration date
08/19/2006
Last updated
02/22/2023
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