Organization
BEATRIZ VIDALES DDS ORTHODONTICS, INC
Active
Other names
Ortho Smile
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ VIDALES (DENTIST)
(760) 744-0004
Entity
Organization
Contact information
Practice address
744 GRAND AVE, SAN MARCOS, CA 92078-1225
(760) 744-0004
(760) 744-0001
Mailing address
744 GRAND AVE, SAN MARCOS, CA 92078-1225
(760) 744-0004
(760) 744-0001
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
45212
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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