| Chula Vista Dental Care | |
|
1177 Broadway Ste 19 Chula Vista CA 91911-2771 | |
| (619) 409-1400 | |
| Not Available |
| Full Name | Chula Vista Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1177 Broadway Ste 19, Chula Vista, California |
| Authorized Official Name and Position | Manijeh Maroon (PRESIDENT) |
| Authorized Official Contact | 6194091400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chula Vista Dental Care 1177 Broadway Ste 19 Chula Vista CA 91911-2771 Ph: () - | Chula Vista Dental Care 1177 Broadway Ste 19 Chula Vista CA 91911-2771 Ph: (619) 409-1400 |
| NPI Number | 1174741532 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174741532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40946 (California) | Primary |
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