Granite Hills Dental Team

NPI #1902242068 in El Cajon, California

Provider Information

NPI Number: 1902242068
Entity Type: Organization
Organization Name: Granite Hills Dental Team
Primary Specialty: Dentist
Enumeration Date: May 16, 2013
Last Updated: May 16, 2013

Practice Location

Address: 810 JAMACHA RD
Address 2: SUITE #104
City: El Cajon
State: California
ZIP Code: 92019-6218
Phone: (619) 579-0233

Authorized Official

Name: LESLIE PEARISO
Title: OFFICE MANAGER
Phone: (619) 579-0233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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