| San Clemente Dental Care | |
|
675 Camino De Los Mares Ste 501 San Clemente CA 92673-2837 | |
| (949) 248-2525 | |
| Not Available |
| Full Name | San Clemente Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 675 Camino De Los Mares Ste 501, San Clemente, California |
| Authorized Official Name and Position | Christopher Carlston (OWNER/DENTIST) |
| Authorized Official Contact | 9499732279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Clemente Dental Care 675 Camino De Los Mares Ste 501 San Clemente CA 92673-2837 Ph: (949) 248-2525 | San Clemente Dental Care 675 Camino De Los Mares Ste 501 San Clemente CA 92673-2837 Ph: (949) 248-2525 |
| NPI Number | 1942937644 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942937644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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