| |
1279 E Vista Way Vista CA 92084-4039 | |
(760) 208-2518 | |
(760) 340-3464 |
Full Name | |
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Speciality | Dentist |
Location | 1279 E Vista Way, Vista, California |
Authorized Official Name and Position | David Park (OWNER) |
Authorized Official Contact | 3104311117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1279 E Vista Way Vista CA 92084-4039 Ph: (760) 208-2518 | 1279 E Vista Way Vista CA 92084-4039 Ph: (760) 208-2518 |
NPI Number | 1659853364 |
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Provider Enumeration Date | 08/30/2018 |
Last Update Date | 08/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659853364 | NPI | - | NPPES |
53724 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 53724 (California) | Primary |
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