Organization
XUSHENG MU, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XUSHENG MU D.D.S. (PRESIDENT)
(858) 270-4588
Entity
Organization
Contact information
Practice address
4716 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92117-2006
(858) 270-4588
(858) 272-8030
Mailing address
4716 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92117-2006
(858) 270-4588
(858) 272-8030
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
45930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93064-01
DENTI-CAL
CA
Enumeration date
09/13/2007
Last updated
09/13/2007
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