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Organization

N. D. MITTLEMAN, D.D.S., INC.

Active
Other names
Ralph L. Raya, D.D.S., Inc dba Tierrasanta Plaza Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NORMAN DALE MITTLEMAN D.D.S. (PRESIDENT)
(858) 354-1229
Entity
Organization

Contact information

Practice address
10715 TIERRASANTA BLVD, SUITE C, SAN DIEGO, CA 92124-2610
(858) 278-6444
(858) 279-6444
Mailing address
PO BOX 8890, RANCHO SANTA FE, CA 92067-8890
(858) 354-1229
(858) 759-1981

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23939
CA

Other

Enumeration date
03/09/2012
Last updated
04/24/2015
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