| Apnea & Breathing Clinic Bennett Dental Group | |
|
5230 Carroll Canyon Rd Ste 326 San Diego CA 92121-1781 | |
| (619) 494-5091 | |
| (619) 881-0408 |
| Full Name | Apnea & Breathing Clinic Bennett Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 5230 Carroll Canyon Rd Ste 326, San Diego, California |
| Authorized Official Name and Position | Chase Alan Bennett (PRESIDENT) |
| Authorized Official Contact | 9186383102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apnea & Breathing Clinic Bennett Dental Group 5230 Carroll Canyon Rd Ste 326 San Diego CA 92121-1781 Ph: (619) 494-5091 | Apnea & Breathing Clinic Bennett Dental Group 5230 Carroll Canyon Rd Ste 326 San Diego CA 92121-1781 Ph: (619) 494-5091 |
| NPI Number | 1083156517 |
|---|---|
| Provider Enumeration Date | 11/15/2016 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 9335410935 |
|---|---|
| Medicare Enrollment ID | O20170731003122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083156517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61279 (California) | Primary |
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