Organization
JAYE VENUTI, DDS PROF. DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYE VENUTI DDS (OWNER)
(858) 259-0331
Entity
Organization
Contact information
Practice address
12395 EL CAMINO REAL, SUITE 312, SAN DIEGO, CA 92130-3082
(858) 259-0331
(858) 259-8729
Mailing address
12395 EL CAMINO REAL, SUITE 312, SAN DIEGO, CA 92130-3082
(858) 259-0331
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
36025
CA
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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