Individual
ARMANDO REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4492 CAMINO DE LA PLZ, SUITE 163, SAN YSIDRO, CA 92173-3003
(619) 407-7911
Mailing address
PASEO TIJUANA NO. 406-M1, EDIFICIO SIMNSA, TIJUANA, BAJA CALIFORNIA 22010
(619) 407-7911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2045159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045159
DENTAL BILLING
—
Enumeration date
02/23/2009
Last updated
02/23/2009
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