OrganizationActive
Beatriz Vidales DDS Orthodontics, Inc
NPI 1447622329 · Preferred Provider Organization · San Marcos, CA
Provider details
- NPI number
- 1447622329
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Beatriz Vidales, Dentist(760) 744-0004
- License
- 45212 (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
744 Grand Ave
San Marcos, CA 92078-1225
Phone: (760) 744-0004
Fax: (760) 744-0001
Approximate (ZIP-level) locationGet directions
Mailing address
744 Grand Ave
San Marcos, CA 92078-1225
Other names (DBA / former)
- Doing business as
- Ortho Smile
Registry dates
- Enumerated
- 2015-10-30
- Last updated
- 2015-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.