Individual
JOHN DIBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
343 W FELICITA AVE STE 10, ESCONDIDO, CA 92025-6515
(760) 975-3729
Mailing address
141 CALLE MARIBEL, SAN MARCOS, CA 92069-3120
(760) 593-9357
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SLD4553
CA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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