| Advanced Dentistry Of San Diego | |
|
630 S Melrose Dr Ste B Vista CA 92081-6626 | |
| (760) 726-5703 | |
| Not Available |
| Full Name | Advanced Dentistry Of San Diego |
|---|---|
| Speciality | Dentist |
| Location | 630 S Melrose Dr Ste B, Vista, California |
| Authorized Official Name and Position | Michael C Maksim (OWNER) |
| Authorized Official Contact | 7607265703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dentistry Of San Diego 630 S Melrose Dr Ste B Vista CA 92081-6626 Ph: (760) 726-5703 | Advanced Dentistry Of San Diego 630 S Melrose Dr Ste B Vista CA 92081-6626 Ph: (760) 726-5703 |
| NPI Number | 1477991404 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477991404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 35429 (California) | Primary |
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