Individual
ALLA PATISH-PREOBRAZHENSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 COLLEGE BLVD STE 106, OCEANSIDE, CA 92057-6261
(760) 306-4466
Mailing address
815 COLLEGE BLVD STE 106, OCEANSIDE, CA 92057-6261
(760) 306-4466
(760) 239-0105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS100665
CA
Other
Enumeration date
03/10/2016
Last updated
05/19/2022
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