Individual
ATILIO ANDRES CANESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
191 N EL CAMINO REAL, ENCINITAS, CA 92024-5362
(760) 203-5030
Mailing address
1076 N COAST HIGHWAY 101 APT 2, ENCINITAS, CA 92024-1420
(310) 948-7987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105569
CA
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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