Organization
JENNIFER ALDAWOODI DMD, PROFESSIONAL CORP
Active
Other names
Rancho Santa Fe Cosmetic and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRINA AGATEP DDS (PRESIDENT)
(858) 367-3058
Entity
Organization
Contact information
Practice address
5531 CANCHA DE GOLF STE 102, RANCHO SANTA FE, CA 92091-4625
(858) 367-3058
(858) 225-5954
Mailing address
5531 CANCHA DE GOLF STE 102, RANCHO SANTA FE, CA 92091-4625
(858) 367-3058
(858) 225-5954
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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