| Oceanside Dental Group | |
|
709 Seagaze Drive Oceanside CA 92054 | |
| (760) 722-0144 | |
| (760) 722-5078 |
| Full Name | Oceanside Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 709 Seagaze Drive, Oceanside, California |
| Authorized Official Name and Position | Kellen Tadano (GENERAL PARTNER) |
| Authorized Official Contact | 7607220144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanside Dental Group 709 Seagaze Drive Oceanside CA 92054 Ph: (760) 722-0144 | Oceanside Dental Group 709 Seagaze Drive Oceanside CA 92054 Ph: (760) 722-0144 |
| NPI Number | 1447322383 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447322383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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