Aaron B. Pitts, Dmd Inc. | |
28914 Old Highway 80 Ste 104 Pine Valley CA 91962-4411 | |
(619) 377-3006 | |
Not Available |
Full Name | Aaron B. Pitts, Dmd Inc. |
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Speciality | Clinic/center - Dental |
Location | 28914 Old Highway 80 Ste 104, Pine Valley, California |
Authorized Official Name and Position | Aaron Brian Pitts (OWNER/OPERATOR) |
Authorized Official Contact | 7186442754 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aaron B. Pitts, Dmd Inc. 28914 Old Highway 80 Ste 104 Pine Valley CA 91962-4411 Ph: () - | Aaron B. Pitts, Dmd Inc. 28914 Old Highway 80 Ste 104 Pine Valley CA 91962-4411 Ph: (619) 377-3006 |
NPI Number | 1952863219 |
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Provider Enumeration Date | 04/04/2019 |
Last Update Date | 04/04/2019 |
Identifier | Type | State | Issuer |
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1952863219 | NPI | - | NPPES |
1174840284 | Other | NPI # 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |