Organization
CHARLES A MASTROVICH, DDS, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE JOHNSON MASTROVICH MBA (BUSINESS MANAGER)
(760) 741-6650
Entity
Organization
Contact information
Practice address
911 E GRAND AVE, ESCONDIDO, CA 92025-3434
(760) 741-6650
(760) 746-2008
Mailing address
911 E GRAND AVE, ESCONDIDO, CA 92025-3434
(760) 741-6650
(760) 746-2008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26090
CA
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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