Packard Dental Group INC

NPI #1861585804 in Carlsbad, California

Provider Information

NPI Number: 1861585804
Entity Type: Organization
Organization Name: Packard Dental Group INC
Primary Specialty: Dentist
Enumeration Date: Oct 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 725 GRAND AVE
City: Carlsbad
State: California
ZIP Code: 92008
Phone: (760) 729-4904

Authorized Official

Name: MARK D PACKARD, DMD
Title: PRESIDENT
Phone: (760) 729-4904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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