Organization
JONATHAN D ALBAUGH DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DAVID ALBAUGH DMD (OWNER)
(760) 527-2846
Entity
Organization
Contact information
Practice address
30 MAIN ST STE G-140, VISTA, CA 92083-5860
(760) 527-2846
(760) 842-0430
Mailing address
30 MAIN ST STE G-140, VISTA, CA 92083-5860
(760) 527-2846
(760) 842-0430
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225262371
NPPES
CA
Enumeration date
03/05/2020
Last updated
12/08/2020
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