Bernardo Heights Dental Group | |
15731 Bernardo Heights Pkwy Suite 101 San Diego CA 92128 | |
(858) 674-6813 | |
(858) 674-9792 |
Full Name | Bernardo Heights Dental Group |
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Speciality | Dentist - General Practice |
Location | 15731 Bernardo Heights Pkwy, San Diego, California |
Authorized Official Name and Position | Jay Loop (OWNER) |
Authorized Official Contact | 8586746813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bernardo Heights Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Bernardo Heights Dental Group 15731 Bernardo Heights Pkwy Suite 101 San Diego CA 92128 Ph: (858) 674-6813 |
NPI Number | 1861691610 |
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Provider Enumeration Date | 07/12/2007 |
Last Update Date | 07/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861691610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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