| Deluna Dental Corporation | |
|
3643 Grand Ave Suite #d San Marcos CA 92078-2336 | |
| (760) 734-6829 | |
| (760) 734-6839 |
| Full Name | Deluna Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3643 Grand Ave, San Marcos, California |
| Authorized Official Name and Position | Jose Emmanuel Rubio De Luna (DENTIST/OWNER) |
| Authorized Official Contact | 7607346829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deluna Dental Corporation 3643 Grand Ave Suite #d San Marcos CA 92078-2336 Ph: (951) 696-2515 | Deluna Dental Corporation 3643 Grand Ave Suite #d San Marcos CA 92078-2336 Ph: (760) 734-6829 |
| NPI Number | 1013180777 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 09/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013180777 | NPI | - | NPPES |
| 1033293402 | Other | CA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47711 (California) | Primary |
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