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5876 Owens Ave Ste 150 Carlsbad CA 92008-5530 | |
| (619) 494-5091 | |
| (619) 881-0408 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 5876 Owens Ave Ste 150, Carlsbad, California |
| Authorized Official Name and Position | Chase Alan Bennett (PRESIDENT) |
| Authorized Official Contact | 9186383102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5876 Owens Ave Ste 150 Carlsbad CA 92008-5530 Ph: (619) 494-5091 | 5876 Owens Ave Ste 150 Carlsbad CA 92008-5530 Ph: (619) 494-5091 |
| NPI Number | 1912516998 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912516998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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