Organization
RICHARD C. EVANGELISTA D.D.S., INC.
Active
Parent organization
RICHARD C. EVANGELISTA D.D.S. INC.
Other names
Beautiful Smiles of La Jolla
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD C. EVANGELISTA D.D.S. INC.
Authorized official
DR. RICHARD EVANGELISTA DDS (PRESIDENT)
(925) 789-0575
Entity
Organization
Contact information
Practice address
8861 VILLA LA JOLLA DR STE 501, LA JOLLA, CA 92037-1925
(858) 926-2332
Mailing address
8861 VILLA LA JOLLA DR STE 501, LA JOLLA, CA 92037-1925
(858) 926-2332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47258
CA
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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