Organization
EAST COUNTY ENDODONTICS
Active
Parent organization
LA JOLLA DENTAL SPECIALTY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA JOLLA DENTAL SPECIALTY GROUP
Authorized official
DR. MICHAEL DO D.D.S. (OWNER)
(619) 579-0316
Entity
Organization
Contact information
Practice address
506 S MAGNOLIA AVE, EL CAJON, CA 92020-6011
(619) 579-0316
Mailing address
506 S MAGNOLIA AVE, EL CAJON, CA 92020-6011
(619) 579-0316
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
49302
CA
Other
Enumeration date
12/23/2007
Last updated
12/23/2007
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