Individual
DR. AILLEEN JACOB DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1275 AIRPORT PARK BLVD, UKIAH, CA 95482-7400
(707) 313-8019
Mailing address
3792 HALFBEAK WAY, SAN DIEGO, CA 92124-3306
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34384TLG
CA
Other
Enumeration date
09/12/2019
Last updated
04/11/2026
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