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DR. JONATHAN DAVID ALBAUGH D.M.D., M.B.A

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1225262371

Individual Registrant:
DR. JONATHAN DAVID ALBAUGH D.M.D., M.B.A
Gender: M
Sole Proprietor

Location and contact information for practice:
40760 CALIFORNIA OAKS RD  MURRIETA, CA 92562-5791 US
Tel: 951-677-3079  Fax: --

Contact information for business:
30 MAIN ST STE G-140  VISTA, CA 92083-5860 US
Tel: 760-527-2846  Fax: 760-842-0430

Registration Information:
NPI: 1225262371
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
NV6142
Y1223X0400XDental Providers
Dentist
CA63587
N122300000XDental Providers
Dentist
MA22262

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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