Organization
SANTEE COTTONWOOD DENTAL,C.S.NICHOLSON,III.D.D.S,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROHSHANA PLUNKETT (MANAGER)
(619) 448-7444
Entity
Organization
Contact information
Practice address
9715 MISSION GORGE RD, SANTEE, CA 92071-3809
(619) 448-7444
(619) 448-7147
Mailing address
9715 MISSION GORGE RD, SANTEE, CA 92071-3809
(619) 448-7444
(619) 448-7147
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20425
CA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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