Organization
SANTOS SALSBURY DENTAL CORPORATION
Active
Parent organization
LEADER MANAGEMENT CORPORATION
Other names
LA DENTAL BRACES, LA DENTAL BRACES SAN DIEGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEADER MANAGEMENT CORPORATION
Authorized official
AMANDA WOLFF DOS SANTOS (PRESIDENT)
(619) 204-8082
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD STE 2202, SAN DIEGO, CA 92120-5293
(619) 204-8082
Mailing address
6699 ALVARADO RD STE 2202, SAN DIEGO, CA 92120-5293
(619) 204-8082
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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