Provider Demographics
NPI:1942712989
Name:ISABEL DAVID, DDS, APC
Entity type:Organization
Organization Name:ISABEL DAVID, DDS, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:DENTIST
Authorized Official - Phone:760-753-3368
Mailing Address - Street 1:285 N EL CAMINO REAL STE 112
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5384
Mailing Address - Country:US
Mailing Address - Phone:760-753-3368
Mailing Address - Fax:760-753-3365
Practice Address - Street 1:285 N EL CAMINO REAL STE 112
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5384
Practice Address - Country:US
Practice Address - Phone:760-753-3368
Practice Address - Fax:760-753-3365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50744261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental