Grand Plaza Dental Group

NPI #1922201219 in San Marcos, California

Provider Information

NPI Number: 1922201219
Entity Type: Organization
Organization Name: Grand Plaza Dental Group
Primary Specialty: Dentist
Enumeration Date: Jun 6, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 137 S LAS POSAS RD STE 250
City: San Marcos
State: California
ZIP Code: 92078-2470
Phone: (760) 752-7000

Authorized Official

Name: DR. CHRIS D PATTON, DDS
Title: DENTIST AND OWNER
Phone: (858) 560-1461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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