| Access Children's Dental Group | |
|
1944 Via Ctr Vista CA 92081-6056 | |
| (760) 732-3100 | |
| (760) 732-3201 |
| Full Name | Access Children's Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1944 Via Ctr, Vista, California |
| Authorized Official Name and Position | Frooz Fatoorachi-korsand (PRESIDENT) |
| Authorized Official Contact | 7607323100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Children's Dental Group 1944 Via Ctr Vista CA 92081-6056 Ph: (760) 732-3100 | Access Children's Dental Group 1944 Via Ctr Vista CA 92081-6056 Ph: (760) 732-3100 |
| NPI Number | 1912051418 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912051418 | NPI | - | NPPES |
| 976622 | Other | CA | UNITED CONCORDIA PROVIDER |
| G92986-01 | Other | CA | DENTICAL GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 41405 (California) | Primary |
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