Organization · Type 2 NPI
SCDP del Sur Ranch
Dental Clinic/Center · San Diego, CA
NPI number
1477220960
Active
Practice location
16460 Paseo Del Sur Ste 105
San Diego, CA 92127-4165
Mailing address
23911 Danzig Bay
Dana Point, CA 92629-4407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1477220960
SCDP del Sur Ranch's National Provider Identifier is 1477220960, issued on Aug 24, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Diego, CA. The record was last updated on Aug 24, 2021.