Rose Dental Group
Dentist in Escondido, CA. Organization (NPI-2).
NPI number1366836645
StatusActive
Last updated in NPPESMar 24, 2015
Details
- NPI
- 1366836645
- Entity type
- Organization (NPI-2)
- Legal business name
- Rose Dental Group
- Organization subpart
- No
- Enumeration date
- Mar 24, 2015
- Last updated
- Mar 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 55005 | CA | Yes |
Practice location
430 N Rose StEscondido, CA 92027-2402
Phone 760-741-1690 · Fax 760-741-1697
Mailing address
430 N Rose StEscondido, CA 92027-2402
Phone 760-741-1690 · Fax 760-741-1697
Authorized official
Mahtab Saadatmandi
Dentist
8583576777
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