Organization
MCNEIL-AMORTEGUY, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH MCNEIL-AMORTEGUY (OWNER/DENTIST)
(805) 543-3016
Entity
Organization
Contact information
Practice address
225 N SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1324
(805) 543-3016
(805) 543-3444
Mailing address
225 N SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1324
(805) 543-3016
(805) 543-3444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
367898
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3059812
CALIFORNIA STATE FILING#:
CA
Enumeration date
05/06/2008
Last updated
05/06/2008
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