La Costa Dental Group
NPI #1760556716 in Encinitas, California
Provider Information
- NPI Number
- 1760556716
- Entity Type
- Organization
- Organization Name
- La Costa Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 501 N EL CAMINO REAL
- Address 2
- STE 200
- City
- Encinitas
- State
- California
- ZIP Code
- 92024
- Phone
- (760) 436-2452
Authorized Official
- Name
- MS. BARBARA M PIGEON
- Title
- OFFICE MANAGER
- Phone
- (760) 436-2452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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