Most Relevant Information
Provider Data
| NPI Number: | 1003832577 |
| Provider Name: | STANLEY LAWRENCE BAQUIAL D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 33439 |
Most Important Dates
| Enumeration Date: | 07/15/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3737 MORAGA AVE
STE B309
SAN DIEGO
CA
921175404
Practice Location Phone/Fax
| Phone: | 8585813641 |
| Fax: | 8585816135 |
Provider Mailing Location
3737 MORAGA AVE
STE B309
SAN DIEGO
CA
921175404
Provider Mailing Phone/Fax
| Phone: | 8585813641 |
| Fax: | 8585816135 |