Individual
DR. PETER MARK VRONTIKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
7777 WESTSIDE DR APT 469, SAN DIEGO, CA 92108-1242
(801) 232-7580
Mailing address
7777 WESTSIDE DR APT 469, SAN DIEGO, CA 92108-1242
(801) 232-7580
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64437
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9783596-9921
UT
Other
Enumeration date
04/20/2015
Last updated
05/19/2016
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