DR. Robert Portillo, D.D.S

NPI #1174749097 in Escondido, California

Provider Information

NPI Number
1174749097
Entity Type
Individual
Name
DR. Robert Portillo, D.D.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Apr 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
910 E OHIO AVE
Address 2
SUITE 201
ZIP Code
92025-3438
Phone
(760) 747-7223

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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