Organization
THOMASWMADDOCKSDDSAPC
Active
Other names
coastdental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM MADDOCKS DDS (DENTIST OWNER)
(760) 758-9400
Entity
Organization
Contact information
Practice address
1976 COLLEGE BLVD, OCEANSIDE, CA 92056-5939
(760) 758-9400
Mailing address
77 S LA SENDA DR, LAGUNA BEACH, CA 92651-6730
(949) 499-1752
(949) 499-1202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
32352
CA
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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