| 4030 Dental Inc. | |
|
6175 El Cajon Blvd San Diego CA 92115-3915 | |
| (630) 567-6373 | |
| Not Available |
| Full Name | 4030 Dental Inc. |
|---|---|
| Speciality | Dentist |
| Location | 6175 El Cajon Blvd, San Diego, California |
| Authorized Official Name and Position | Rawaa Aldairi (PRESIDENT) |
| Authorized Official Contact | 6305676373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4030 Dental Inc. 6175 El Cajon Blvd San Diego CA 92115-3915 Ph: (619) 583-4030 | 4030 Dental Inc. 6175 El Cajon Blvd San Diego CA 92115-3915 Ph: (630) 567-6373 |
| NPI Number | 1275833956 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275833956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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