Fox Professional Dental Corporation | |
1235 W Vista Way Ste K Vista CA 92083 | |
(760) 631-0007 | |
(760) 631-0009 |
Full Name | Fox Professional Dental Corporation |
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Speciality | Dentist |
Location | 1235 W Vista Way Ste K, Vista, California |
Authorized Official Name and Position | Ethan G Fox (EXECUTIVE OFFICER) |
Authorized Official Contact | 8582483359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fox Professional Dental Corporation 1235 W Vista Way Ste K Vista CA 92083 Ph: (760) 631-0007 | Fox Professional Dental Corporation 1235 W Vista Way Ste K Vista CA 92083 Ph: (760) 631-0007 |
NPI Number | 1598939183 |
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Provider Enumeration Date | 04/15/2008 |
Last Update Date | 04/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598939183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 52857 (California) | Primary |
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