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Organization

PACIFIC ENT MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CYNTHIA R. DAVIS M.D. (PRESIDENT)
(858) 755-9343
Entity
Organization

Contact information

Practice address
6010 HIDDEN VALLEY RD STE 210, CARLSBAD, CA 92011-4219
(858) 755-9343
(858) 792-1790
Mailing address
6010 HIDDEN VALLEY RD STE 210, CARLSBAD, CA 92011-4219
(858) 755-9343
(858) 792-1790

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G51656
CA

Other

Enumeration date
09/22/2006
Last updated
02/23/2021
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