Individual
DR. ANTONIO A LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9280 PEBBLESTONE LN, SAN DIEGO, CA 92126-5541
(858) 578-7385
Mailing address
9280 PEBBLESTONE LN, SAN DIEGO, CA 92126-5541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58557
CA
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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