| Smile Dental Of San Diego | |
|
7484 University Ave Ste 150 La Mesa CA 91942-6084 | |
| (619) 462-2272 | |
| (619) 462-2290 |
| Full Name | Smile Dental Of San Diego |
|---|---|
| Speciality | Dentist |
| Location | 7484 University Ave Ste 150, La Mesa, California |
| Authorized Official Name and Position | David Park (CEO) |
| Authorized Official Contact | 3104031117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Dental Of San Diego 7484 University Ave Ste 150 La Mesa CA 91942-6084 Ph: (619) 462-2272 | Smile Dental Of San Diego 7484 University Ave Ste 150 La Mesa CA 91942-6084 Ph: (619) 462-2272 |
| NPI Number | 1134602469 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134602469 | NPI | - | NPPES |
| 53724 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Peter F Johnson Dmd A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Suite 110-1, La Mesa, CA 91942 Phone: 619-463-3737 Fax: 619-463-3730 | |
Rigoberto Cervantes, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8341 La Mesa Blvd, La Mesa, CA 91942 Phone: 650-483-5350 | |
Salehpour Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5153 Jackson Dr, La Mesa, CA 91942 Phone: 619-460-2280 Fax: 619-460-2285 | |
Dr. Anthony P. Varboncoeur Dds,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Suite 129, La Mesa, CA 91942 Phone: 619-463-4486 | |
Prasad Gonavarum D.d.s., Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7122 University Ave, La Mesa, CA 91942 Phone: 619-698-5471 | |
Paul J Michels Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8960 Fletcher Pkwy Ste D, La Mesa, CA 91942 Phone: 619-345-7999 Fax: 619-797-1720 |