Individual
CLARISSA DAMASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1469 STATE ST, SAN DIEGO, CA 92101-3421
(619) 947-5035
Mailing address
1469 STATE ST, SAN DIEGO, CA 92101-3421
(619) 947-5035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS100490
CA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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