Organization
CHILDREN'S DENTAL HEALTH ASSOCIATION OF SAN DIEGO
Active
Parent organization
CHILDREN'S DENTAL HEALTH ASSOCIATION OF SAN DIEGO
Other names
School Base Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S DENTAL HEALTH ASSOCIATION OF SAN DIEGO
Authorized official
MARILUCI C BYRNES DDS (DIRECTOR OF GENERAL DENTISTRY)
(619) 234-8131
Entity
Organization
Contact information
Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 234-8131
(619) 234-0048
Mailing address
1270 24TH STREET, SAN DIEGO, CA 92102-2012
(619) 234-8131
(619) 234-0048
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
09/02/2025
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