| Rancho Penasquitos Dental Center | |
|
9955 Carmel Mountain Rd Ste 4 San Diego CA 92129-2815 | |
| (858) 484-3100 | |
| (858) 484-8510 |
| Full Name | Rancho Penasquitos Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9955 Carmel Mountain Rd Ste 4, San Diego, California |
| Authorized Official Name and Position | Thomas J Kerrian (DENTIST) |
| Authorized Official Contact | 8584843100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Penasquitos Dental Center 9955 Carmel Mountain Rd Ste 4 San Diego CA 92129-2815 Ph: (858) 484-3100 | Rancho Penasquitos Dental Center 9955 Carmel Mountain Rd Ste 4 San Diego CA 92129-2815 Ph: (858) 484-3100 |
| NPI Number | 1417062472 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417062472 | NPI | - | NPPES |
| 25595 | Other | CA | STATE ID |
| 31129 | Other | CA | STATE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31129 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 25595 (California) | Secondary |
Robert Selis Dds.inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3530 Camino Del Rio N, 109, San Diego, CA 92108 Phone: 619-283-2093 | |
Elmira Khodapanah Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2333 Camino Del Rio S Ste 140, San Diego, CA 92108 Phone: 619-574-1810 Fax: 619-574-1326 | |
Roya Mirkhan,dmd,msd,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12395 El Camino Real, Suite Number 314, San Diego, CA 92130 Phone: 858-337-6264 Fax: 858-755-6260 | |
Reesor Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11968 Bernardo Plaza Dr, San Diego, CA 92128 Phone: 858-521-0000 | |
Dr. Hoss, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11943 El Camino Real Ste 200, San Diego, CA 92130 Phone: 858-336-8478 | |
Sia-zol, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9330 Mira Mesa Blvd Ste F, San Diego, CA 92126 Phone: 858-536-7005 Fax: 858-536-7006 | |
Robert J. Bey, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8787 Complex Dr, Suite 100, San Diego, CA 92123 Phone: 858-279-2226 Fax: 858-751-0138 |