| Chula Vista Periodontics | |
|
345 F St Ste 240 Chula Vista CA 91910-2634 | |
| (619) 425-9770 | |
| (619) 425-9797 |
| Full Name | Chula Vista Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 345 F St Ste 240, Chula Vista, California |
| Authorized Official Name and Position | Susan Nguyen (PERIODONTIST) |
| Authorized Official Contact | 6194259770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chula Vista Periodontics 345 F St Ste 240 Chula Vista CA 91910-2634 Ph: (619) 425-9770 | Chula Vista Periodontics 345 F St Ste 240 Chula Vista CA 91910-2634 Ph: (619) 425-9770 |
| NPI Number | 1164657128 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164657128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 48526 (California) | Primary |
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