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Portilla Dental Group Corp
Dental Clinic/Center in Escondido, California
NPI 1457957185

Portilla Dental Group Corp is a Dental Clinic/Center based in Escondido, CA and is specialized in Dental. Portilla Dental Group Corp practices in Escondido, CA. The NPI Number for Portilla Dental Group Corp is 1457957185 and holds a License No. (California).

The current practice location address for Portilla Dental Group Corp is 200 N Ash St Ste 200, Escondido, CA and can be reached out via phone at 760-738-8300 and via fax at 760-738-9400.

Location: 200 N Ash St Ste 200, Escondido, CA, 92027-3024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457957185
Provider Name
Portilla Dental Group Corp
Credential
Provider Entity Type
Organization
Address
200 N Ash St Ste 200, Escondido, CA, 92027-3024
Phone Number
760-738-8300
Fax Number
760-738-9400
Provider Enumeration Date
12/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 N Ash St Ste 200
City
Escondido
State
California
Zip
92027-3024
Phone Number
760-738-8300
Fax Number
760-738-9400
person
Provider Business Mailing Address Details
Address
200 N Ash St Ste 200
City
Escondido
State
California
Zip
92027-3024
Phone Number
760-738-8300
Fax Number
760-738-9400
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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