| Carlsbad Village Dental Care | |
|
2815 Jefferson St Suite 300 Carlsbad CA 92008-1717 | |
| (760) 434-3103 | |
| (760) 434-3108 |
| Full Name | Carlsbad Village Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2815 Jefferson St, Carlsbad, California |
| Authorized Official Name and Position | Christopher Michael Dudzik (OWNER) |
| Authorized Official Contact | 7604343103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlsbad Village Dental Care 2815 Jefferson St Suite 300 Carlsbad CA 92008-1717 Ph: (760) 434-3103 | Carlsbad Village Dental Care 2815 Jefferson St Suite 300 Carlsbad CA 92008-1717 Ph: (760) 434-3103 |
| NPI Number | 1376910562 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376910562 | NPI | - | NPPES |
| 1457793226 | Other | CA | PERSONAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62606 (California) | Primary |
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