Organization
MICHAEL G. MCMAHON PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GERALD MCMAHON (DENTIST/OWNER)
(619) 223-7189
Entity
Organization
Contact information
Practice address
3405 KENYON ST STE 510, SAN DIEGO, CA 92110-5008
(619) 233-7189
Mailing address
3405 KENYON ST STE 510, SAN DIEGO, CA 92110-5008
(619) 233-7189
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
34383
CA
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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