Daisy Fresh Dental Inc | |
560 E Valley Pkwy Escondido CA 92025-3006 | |
(858) 433-5273 | |
Not Available |
Full Name | Daisy Fresh Dental Inc |
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Speciality | Dentist |
Location | 560 E Valley Pkwy, Escondido, California |
Authorized Official Name and Position | Ali Sadduk (CEO) |
Authorized Official Contact | 8584335273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Daisy Fresh Dental Inc 560 E Valley Pkwy Escondido CA 92025-3006 Ph: (858) 433-5273 | Daisy Fresh Dental Inc 560 E Valley Pkwy Escondido CA 92025-3006 Ph: (858) 433-5273 |
NPI Number | 1871049205 |
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Provider Enumeration Date | 08/26/2016 |
Last Update Date | 10/27/2016 |
Identifier | Type | State | Issuer |
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1871049205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 57006 (California) | Primary |
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