| Chula Vista Smiles | |
|
355 K St Ste A Chula Vista CA 91911-1209 | |
| (619) 427-1315 | |
| Not Available |
| Full Name | Chula Vista Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 355 K St Ste A, Chula Vista, California |
| Authorized Official Name and Position | Ilse Savelli-castillo (DENTIST/PRESIDENT) |
| Authorized Official Contact | 6194271315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chula Vista Smiles 355 K St Ste A Chula Vista CA 91911-1209 Ph: (619) 427-1315 | Chula Vista Smiles 355 K St Ste A Chula Vista CA 91911-1209 Ph: (619) 427-1315 |
| NPI Number | 1619147188 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619147188 | NPI | - | NPPES |
| D55416 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54416 (California) | Primary |
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