Calidental | |
342 S Broadway Escondido CA 92025-4207 | |
(760) 747-4242 | |
Not Available |
Full Name | Calidental |
---|---|
Speciality | Dentist - General Practice |
Location | 342 S Broadway, Escondido, California |
Authorized Official Name and Position | Rigoberto Cervantes (OWNER/DENTIST) |
Authorized Official Contact | 7607474242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Calidental Po Box 33448 San Diego CA 92163-3448 Ph: (760) 747-4242 | Calidental 342 S Broadway Escondido CA 92025-4207 Ph: (760) 747-4242 |
NPI Number | 1912379819 |
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Provider Enumeration Date | 10/30/2015 |
Last Update Date | 10/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912379819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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