| Orthodontics Of San Marcos | |
|
955 Boardwalk Suite 202 San Marcos CA 92078-2659 | |
| (619) 578-1405 | |
| Not Available |
| Full Name | Orthodontics Of San Marcos |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 955 Boardwalk, San Marcos, California |
| Authorized Official Name and Position | Joseph Morneau (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 6195781405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontics Of San Marcos 955 Boardwalk Suite 202 San Marcos CA 92078-2659 Ph: (619) 578-1405 | Orthodontics Of San Marcos 955 Boardwalk Suite 202 San Marcos CA 92078-2659 Ph: (619) 578-1405 |
| NPI Number | 1457741860 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457741860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 61044 (California) | Primary |
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