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88 E Bonita Rd Ste F Chula Vista CA 91910-3057 | |
| (619) 427-2646 | |
| (619) 427-2642 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 88 E Bonita Rd Ste F, Chula Vista, California |
| Authorized Official Name and Position | Maria Luisa C. Vales (DENTIST) |
| Authorized Official Contact | 6194272646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
88 E Bonita Rd Ste F Chula Vista CA 91910-3057 Ph: (619) 427-2646 | 88 E Bonita Rd Ste F Chula Vista CA 91910-3057 Ph: (619) 427-2646 |
| NPI Number | 1336407410 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336407410 | NPI | - | NPPES |
| B43262 | Other | CA | HEALTH FAMILIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43262 (California) | Primary |
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