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Individual

DR. LUIS VIDAURRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2226 OTAY LAKES RD STE A-B, CHULA VISTA, CA 91915-1010
(619) 336-8478
Mailing address
3588 TORREY VIEW CT, SAN DIEGO, CA 92130-2635

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS111541
CA

Other

Enumeration date
06/09/2022
Last updated
08/05/2025
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