| |
711 Avocado Ave El Cajon CA 92020-6401 | |
(619) 977-5664 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 711 Avocado Ave, El Cajon, California |
Authorized Official Name and Position | Sami Steven Kashou (GENERAL DENTIST) |
Authorized Official Contact | 6199775664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8508 Meadow Lark Ln Santee CA 92071-2071 Ph: (619) 977-5664 | 711 Avocado Ave El Cajon CA 92020-6401 Ph: (619) 977-5664 |
NPI Number | 1518610682 |
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Provider Enumeration Date | 01/30/2022 |
Last Update Date | 01/31/2022 |
Identifier | Type | State | Issuer |
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1518610682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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