| Dental Arts Of Palm Avenue | |
|
3388 Palm Ave Ste 101 San Diego CA 92154-1662 | |
| (619) 424-3456 | |
| (619) 424-3455 |
| Full Name | Dental Arts Of Palm Avenue |
|---|---|
| Speciality | Dentist |
| Location | 3388 Palm Ave Ste 101, San Diego, California |
| Authorized Official Name and Position | Jaime Acuna Loera (DENTIST/OWNER) |
| Authorized Official Contact | 6194243456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Arts Of Palm Avenue 3388 Palm Ave Ste 101 San Diego CA 92154-1662 Ph: (619) 424-3456 | Dental Arts Of Palm Avenue 3388 Palm Ave Ste 101 San Diego CA 92154-1662 Ph: (619) 424-3456 |
| NPI Number | 1508005729 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Medicare PECOS PAC ID | 3577960871 |
|---|---|
| Medicare Enrollment ID | O20210929003212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508005729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48320 (California) | Primary |
| Provider Name | Jaime Acuna Loera |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588723415 PECOS PAC ID: 0446557722 Enrollment ID: I20210929003440 |
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