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DE LUNA DENTAL CORPORATION NPI 1952549008


NPI Information

NPI: 1952549008
Provider Name: DE LUNA DENTAL CORPORATION

Doing Business As: GRAND SMILES FAMILY AND COSMETIC DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3643 GRAND AVE STE D
SAN MARCOS, CA
ZIP 92078
Phone: (760) 734-6829
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DE LUNA DENTAL CORPORATION is a general practice dentist in San Marcos, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DE LUNA DENTAL CORPORATION NPI is 1952549008. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Grand Smiles Family And Cosmetic Dentistry.

The provider's business location address is:

3643 GRAND AVE STE D
SAN MARCOS, CA
ZIP 92078-336
Phone: (760) 734-6829
Fax: (760) 734-6839

The provider's authorized official is Jose Emmanuel Rubio De Luna .
The authorized official title is Dr. And President and has the following contact phone number (760) 734-6829.

The enumeration date for this NPI number is 1/28/2009 and was last updated on 1/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice47711CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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