NPI 1407041304

Xusheng Mu, D.D.S., INC.

Organisation Preferred Provider Organization San Diego, CA

Practice location

Address: 4716 Clairemont Mesa Blvd, San Diego, CA 92117-2006
Phone: (858) 270-4588
Fax: (858) 272-8030

Authorised official

Name: Xusheng Mu
Title: President
Phone: (858) 270-4588

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 45930 (CA)

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Registry record

NPI: 1407041304
Entity type: Organization
NPI issued: 13 Sep 2007
Record last updated: 13 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.