| Chula Vista Pediatric Dentistry | |
|
1040 Tierra Del Rey Suite 103 Chula Vista CA 91910-7865 | |
| (619) 482-1210 | |
| (619) 482-1217 |
| Full Name | Chula Vista Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1040 Tierra Del Rey, Chula Vista, California |
| Authorized Official Name and Position | Rene Ricardo Alingog (PRESIDENT) |
| Authorized Official Contact | 6194821210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chula Vista Pediatric Dentistry 1040 Tierra Del Rey Suite 103 Chula Vista CA 91910-7865 Ph: (619) 482-1210 | Chula Vista Pediatric Dentistry 1040 Tierra Del Rey Suite 103 Chula Vista CA 91910-7865 Ph: (619) 482-1210 |
| NPI Number | 1013227438 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013227438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 50202 (California) | Primary |
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