| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1944 Via Ctr, Vista, California |
| Authorized Official Name and Position | Alejandra Huitron (OFFICE MANAGER) |
| Authorized Official Contact | 7607323100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1944 Via Ctr Vista CA 92081-6056 Ph: (760) 732-3100 | 1944 Via Ctr Vista CA 92081-6056 Ph: (760) 732-3100 |
| NPI Number | 1477966067 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477966067 | NPI | - | NPPES |
| 1912051418 | Medicaid | CA | |
| G92986 | Other | CA | MEDICAL |
| 1427102094 | Other | CA | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 41405 (California) | Primary |
Oasis Smiles Dentistry-dr Sasha Bhor Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Vista Oasis Smiles, 985 S Santa Fe Avenue, Vista, CA 92083 Phone: 760-295-1780 | |
Ali Amiri Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 S Melrose Dr Ste 200, Vista, CA 92081 Phone: 760-724-9117 | |
Jim M Fisher Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1580 S Melrose Dr Ste 112, Vista, CA 92081 Phone: 760-727-1089 |