Dental Specialty Care | |
3211 Business Park Dr Suite A Vista CA 92081-8529 | |
(760) 727-5613 | |
(760) 727-4225 |
Full Name | Dental Specialty Care |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 3211 Business Park Dr, Vista, California |
Authorized Official Name and Position | Brian D Mudd (ADMIN) |
Authorized Official Contact | 7607275613 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Specialty Care 1477 San Pablo Dr San Marcos CA 92078-4701 Ph: (760) 727-5613 | Dental Specialty Care 3211 Business Park Dr Suite A Vista CA 92081-8529 Ph: (760) 727-5613 |
NPI Number | 1013285436 |
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Provider Enumeration Date | 12/13/2011 |
Last Update Date | 10/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013285436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 87 (California) | Primary |
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