Organization
SIDNEY L. SPECTOR, DDS, PROF. CORP,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY LLOYD SPECTOR DDS (OWNER)
(858) 578-2205
Entity
Organization
Contact information
Practice address
9855 ERMA RD, STE 110, SAN DIEGO, CA 92131-3001
(858) 578-2205
(858) 578-1753
Mailing address
9855 ERMA RD, STE 110, SAN DIEGO, CA 92131-3001
(858) 578-2205
(858) 578-1753
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
27073
CA
124Q00000X
Dental Hygienist
20492
CA
124Q00000X
Dental Hygienist
6252
CA
Other
Enumeration date
08/17/2006
Last updated
05/01/2009
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