Organization
SAN DIEGO DENTAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATYA ARCHAMBAULT (OWNER)
(310) 307-6623
Entity
Organization
Contact information
Practice address
9350 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(310) 307-6623
Mailing address
9350 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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