Individual
DANIEL PHILIP MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(832) 276-0207
Mailing address
38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(832) 276-0207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38920
TX
Other
Enumeration date
08/18/2022
Last updated
06/13/2024
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