Organization
ALVARADO DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PERRY D.D.S. (DENTIST)
(619) 287-0990
Entity
Organization
Contact information
Practice address
6475 ALVARADO RD STE 205, SAN DIEGO, CA 92120-5013
(619) 287-0990
(619) 287-1462
Mailing address
6475 ALVARADO RD STE 205, SAN DIEGO, CA 92120-5013
(619) 287-0990
(619) 287-1462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
29790
CA
1223G0001X
General Practice Dentistry
Primary
29858
CA
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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