| Reesor Dental Group, Pc | |
|
11968 Bernardo Plaza Dr San Diego CA 92128-2538 | |
| (858) 521-0000 | |
| Not Available |
| Full Name | Reesor Dental Group, Pc |
|---|---|
| Speciality | Dentist |
| Location | 11968 Bernardo Plaza Dr, San Diego, California |
| Authorized Official Name and Position | Jason Reesor (OWNER) |
| Authorized Official Contact | 6614775168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reesor Dental Group, Pc 11968 Bernardo Plaza Dr San Diego CA 92128-2538 Ph: () - | Reesor Dental Group, Pc 11968 Bernardo Plaza Dr San Diego CA 92128-2538 Ph: (858) 521-0000 |
| NPI Number | 1003301169 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 06/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003301169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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