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DR. VINCENT GERARD AUTH DMD

Prosthodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1437142999

Individual Registrant:
DR. VINCENT GERARD AUTH DMD
Gender: M

Location and contact information for practice:
1ST DENTAL BATTALION BLDG 13128 CAMP PENDLETON, CA 92055-5221 US
Tel: 760-763-1128  Fax: --

Contact information for business:
3621 LAREDO ST . CARLSBAD, CA 92010-2173 US
Tel: 760-434-0014  Fax: --

Registration Information:
NPI: 1437142999
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0700XDental Providers
Dentist
Prosthodontics
PADS026376L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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