| C & L Dental | |
|
3730 3rd Ave San Diego CA 92103-4112 | |
| (619) 297-2949 | |
| (619) 297-8535 |
| Full Name | C & L Dental |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3730 3rd Ave, San Diego, California |
| Authorized Official Name and Position | Andrew Robert Chapokas (GENERAL PARTNER) |
| Authorized Official Contact | 6192972949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C & L Dental 3730 3rd Ave San Diego CA 92103-4112 Ph: (619) 297-2949 | C & L Dental 3730 3rd Ave San Diego CA 92103-4112 Ph: (619) 297-2949 |
| NPI Number | 1700339397 |
|---|---|
| Provider Enumeration Date | 07/29/2016 |
| Last Update Date | 07/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700339397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29814 (California) | Secondary |
| 122300000X | Dentist | 59349 (California) | Secondary |
| 1223P0300X | Dentist - Periodontics | 58890 (California) | Primary |
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