Organization
DOWNTOWN SD MODERN DENTISTRY DENTAL GROUP
Active
Other names
Do and Pham Dental Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA S DO-YABUT DMD (OWNER DOCTOR)
(619) 850-2550
Entity
Organization
Contact information
Practice address
435 4TH AVENUE, SAN DIEGO, CA 92101
(619) 850-2550
(619) 239-1355
Mailing address
17000 RED HILL AVENUE, IRVINE, CA 92614
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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