Organization
4030 DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAWAA ALDAIRI (PRESIDENT)
(630) 567-6373
Entity
Organization
Contact information
Practice address
6175 EL CAJON BLVD, SAN DIEGO, CA 92115-3915
(630) 567-6373
Mailing address
6175 EL CAJON BLVD, SAN DIEGO, CA 92115-3915
(619) 583-4030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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