Individual
MICHAEL DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4510 EXECUTIVE DR, SUITE 205, SAN DIEGO, CA 92121-3021
(858) 546-1802
Mailing address
PO BOX 9133, RANCHO SANTA FE, CA 92067-4133
(858) 220-3511
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
49302
CA
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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