Danny J. Holtzclaw, Dds, A Professional Corporation | |
690 Otay Lakes Rd Ste 260 Chula Vista CA 91910-8904 | |
(619) 482-3264 | |
Not Available |
Full Name | Danny J. Holtzclaw, Dds, A Professional Corporation |
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Speciality | Dentist - General Practice |
Location | 690 Otay Lakes Rd Ste 260, Chula Vista, California |
Authorized Official Name and Position | Danny J Holtzaclaw (OWNER) |
Authorized Official Contact | 6194823264 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Danny J. Holtzclaw, Dds, A Professional Corporation 690 Otay Lakes Rd Ste 260 Chula Vista CA 91910-8904 Ph: (619) 482-3264 | Danny J. Holtzclaw, Dds, A Professional Corporation 690 Otay Lakes Rd Ste 260 Chula Vista CA 91910-8904 Ph: (619) 482-3264 |
NPI Number | 1861139172 |
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Provider Enumeration Date | 05/18/2022 |
Last Update Date | 05/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861139172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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