MEDICARE: DR. ADINA MANOLESCU DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	53830	CA

General Provider Information

NPI Number	:	1861407462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADINA MANOLESCU DDS

Provider Business Mailing Address
First Line	:	6529 MISSION GORGE RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-2306
Country	:	US
Telephone Number	:	619-283-3161
Fax Number	:	619-331-6730

Provider Business Practice Location Address
First Line	:	6529 MISSION GORGE RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-2306
Country	:	US
Telephone Number	:	619-283-3161
Fax Number	:	619-331-6730

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	04/22/2021

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