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Provider Information for 1336709674

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. FAITH-ROSELLE ROY BARREYRO DMD

Gender: FEMALE

Individual NPI: 1336709674

Calendar   Last Updated:  2019-06-18
  Certification Date: 

Details

Name Value
NPI 1336709674
Enumeration Date 2019-06-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 8826 PAGODA WAY
SAN DIEGO, CA 92126-3322
United States

Phone: 858-218-5188 | Fax:
View Map External Link
Primary Practice Address 4130 LA JOLLA VILLAGE DR STE 105
LA JOLLA, CA 92037-1480
United States

Phone: 858-455-7777 | Fax:
View Map External Link
Secondary Practice Address 1530 HILTON HEAD RD STE 111
EL CAJON, CA 92019-4655
United States

Phone: 619-441-8000 | Fax:
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2260 OTAY LAKES RD STE 110
CHULA VISTA, CA 91915-1007
United States

Phone: 619-482-5555 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 103765