Packard Dental Partnership

NPI #1114472693 in Carlsbad, California

Provider Information

NPI Number: 1114472693
Entity Type: Organization
Organization Name: Packard Dental Partnership
Primary Specialty: Dentist
Enumeration Date: Aug 24, 2016
Last Updated: Aug 24, 2016

Practice Location

Address: 1281 CARLSBAD VILLAGE DR
City: Carlsbad
State: California
ZIP Code: 92008-1950
Phone: (760) 729-4904

Authorized Official

Name: DR. MATTHEW S PACKARD, DDS
Title: CO OWNER
Phone: (760) 729-4904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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