| Citracado Dental Group | |
|
500 W El Norte Pkwy Escondido CA 92026-3983 | |
| (760) 489-5545 | |
| (760) 489-5546 |
| Full Name | Citracado Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 500 W El Norte Pkwy, Escondido, California |
| Authorized Official Name and Position | Robert Jungman (PARTNER DENTIST) |
| Authorized Official Contact | 7604895545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citracado Dental Group 500 W El Norte Pkwy Escondido CA 92026-3983 Ph: (760) 489-5545 | Citracado Dental Group 500 W El Norte Pkwy Escondido CA 92026-3983 Ph: (760) 489-5545 |
| NPI Number | 1770148728 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770148728 | NPI | - | NPPES |
| 1265653828 | Other | CA | NPPES |
| 1841330198 | Other | NPPES | |
| 1902156367 | Other | CA | NPPES |
| 1194124867 | Other | NPPES | |
| 1558582247 | Other | NPPES | |
| 1356562821 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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