| Village Square Dental Care | |
|
1534 Encinitas Blvd Encinitas CA 92024-2932 | |
| (760) 944-0453 | |
| (760) 944-0581 |
| Full Name | Village Square Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1534 Encinitas Blvd, Encinitas, California |
| Authorized Official Name and Position | Neda Mobasher (PRESIDENT/OWNER DENTIST) |
| Authorized Official Contact | 7609440453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Square Dental Care 1534 Encinitas Blvd Encinitas CA 92024-2932 Ph: (760) 944-0453 | Village Square Dental Care 1534 Encinitas Blvd Encinitas CA 92024-2932 Ph: (760) 944-0453 |
| NPI Number | 1053141218 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053141218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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