Organization
DR. PAUL J. STYRT D.M.D., M.P.H., M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J STYRT D.M.D., M.P.H., M.S. (OWNER/OPERATOR)
(858) 458-1088
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR, PLAZA SUITE 3, SAN DIEGO, CA 92121-3021
(858) 458-1088
(858) 458-1106
Mailing address
4510 EXECUTIVE DR, PLAZA SUITE 3, SAN DIEGO, CA 92121-3021
(858) 458-1088
(858) 458-1106
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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