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Individual

DR. DIRK H KANCILIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
16980 VIA TAZON, 160, SAN DIEGO, CA 92127-1633
(858) 345-4114
(858) 679-8411
Mailing address
33175 TEMECULA PKWY, A125, TEMECULA, CA 92592-7300
(858) 345-4114
(866) 920-8576

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC16440
CA

Other

Enumeration date
04/21/2009
Last updated
10/01/2010
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