Dr Raymond Mansour a Professional Dental Corp
NPI #1366908527 in El Cajon, California
Provider Information
- NPI Number
- 1366908527
- Entity Type
- Organization
- Organization Name
- Dr Raymond Mansour a Professional Dental Corp
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 13, 2019
- Last Updated
- Feb 13, 2019
Practice Location
- Address
- 343 E LEXINGTON AVE STE 102
- City
- El Cajon
- State
- California
- ZIP Code
- 92020-4520
- Phone
- (619) 444-2191
Authorized Official
- Name
- DR. RAYMOND N MANSOUR
- Title
- DENTIST/OWNER
- Phone
- (619) 444-2191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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