| Cosmetic Dentistry Center Of San Diego | |
|
702 C St San Diego CA 92101-5308 | |
| (619) 544-0544 | |
| Not Available |
| Full Name | Cosmetic Dentistry Center Of San Diego |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 702 C St, San Diego, California |
| Authorized Official Name and Position | Bradley A. Ross (PRESIDENT) |
| Authorized Official Contact | 6195829700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic Dentistry Center Of San Diego 702 C St San Diego CA 92101-5308 Ph: (619) 544-0544 | Cosmetic Dentistry Center Of San Diego 702 C St San Diego CA 92101-5308 Ph: (619) 544-0544 |
| NPI Number | 1366647687 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366647687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34414 (California) | Primary |
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