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Individual

DR. DISBEL REBECA MANSILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1551 BISHOP ST BLDG D, SUITE 420, SAN LUIS OBISPO, CA 93401-4635
(805) 547-7013
(805) 547-7014
Mailing address
1551 BISHOP ST BLDG D, SUITE 420, SAN LUIS OBISPO, CA 93401-4635
(805) 547-7013
(805) 547-7014

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50784
CA

Other

Enumeration date
07/26/2006
Last updated
08/03/2009
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