| El Norte Family Dental | |
|
306 W El Norte Pkwy Suite D & E Escondido CA 92026-1960 | |
| (760) 480-5600 | |
| (760) 418-4321 |
| Full Name | El Norte Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 306 W El Norte Pkwy, Escondido, California |
| Authorized Official Name and Position | Vijaya Kv Prabhu (PRESIDENT) |
| Authorized Official Contact | 7604805600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Norte Family Dental 306 W El Norte Pkwy Suite D & E Escondido CA 92026-1960 Ph: (760) 480-5600 | El Norte Family Dental 306 W El Norte Pkwy Suite D & E Escondido CA 92026-1960 Ph: (760) 480-5600 |
| NPI Number | 1831312248 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831312248 | NPI | - | NPPES |
| 1223G0001X | Other | CA | DENTIST-GENERAL PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38736 (California) | Primary |
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