Individual
PATRICIA CAMPILLO PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8590 RIO SAN DIEGO DR STE 110, SAN DIEGO, CA 92108
(619) 299-1122
Mailing address
2617 APERTURE CIR, SAN DIEGO, CA 92108-2628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS040113
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS103440
CA
Other
Enumeration date
12/15/2014
Last updated
07/15/2019
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