| |
2725 Jefferson Street #6 Carlsbad CA 92008 | |
(760) 434-3103 | |
(760) 434-3107 |
Full Name | |
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Speciality | Dentist |
Location | 2725 Jefferson Street, Carlsbad, California |
Authorized Official Name and Position | Thomas M Richardson (OWNER) |
Authorized Official Contact | 7604343103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2725 Jefferson Street #6 Carlsbad CA 92008 Ph: (760) 434-3103 | 2725 Jefferson Street #6 Carlsbad CA 92008 Ph: (760) 434-3103 |
NPI Number | 1275691958 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275691958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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