| Colby Dental Corporation | |
|
521 E Alvarado St Fallbrook CA 92028-2313 | |
| (760) 723-3535 | |
| (760) 723-3535 |
| Full Name | Colby Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 521 E Alvarado St, Fallbrook, California |
| Authorized Official Name and Position | Jordan Darwin Colby (OWNER) |
| Authorized Official Contact | 7607233535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colby Dental Corporation 521 E Alvarado St Fallbrook CA 92028-2313 Ph: (760) 723-3535 | Colby Dental Corporation 521 E Alvarado St Fallbrook CA 92028-2313 Ph: (760) 723-3535 |
| NPI Number | 1548775349 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548775349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 64552 (California) | Primary |
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