Individual
DR. JAMES DOUGLAS DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11777 BERNARDO PLAZA CT, SUITE 102, SAN DIEGO, CA 92128-2405
(858) 487-7766
(858) 487-5539
Mailing address
13105 AVENIDA LA VALENCIA, POWAY, CA 92064-1905
(858) 487-4198
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
46047
CA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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