Provider Demographics
NPI:1598779936
Name:DAVID R. DUGUID, D.D.S., P.C.
Entity Type:Organization
Organization Name:DAVID R. DUGUID, D.D.S., P.C.
Other - Org Name:COSMETIC DENTISTRY OF SAN DIEGO
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:DUGUID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-234-7222
Mailing Address - Street 1:230 W G ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-6026
Mailing Address - Country:US
Mailing Address - Phone:619-234-7222
Mailing Address - Fax:619-234-8832
Practice Address - Street 1:230 W G ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-6026
Practice Address - Country:US
Practice Address - Phone:619-234-7222
Practice Address - Fax:619-234-8832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA507011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty