Organization
DURSCHLAG DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DURSCHLAG DDS (PRESIDENT)
(858) 248-7005
Entity
Organization
Contact information
Practice address
239 LAUREL ST STE 201, SAN DIEGO, CA 92101-1473
(619) 291-5266
Mailing address
11921 CARMEL CREEK RD APT 109, SAN DIEGO, CA 92130-2566
(858) 248-7005
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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