| Dr Raymond Mansour A Professional Dental Corp | |
|
343 E Lexington Ave Ste 102 El Cajon CA 92020-4520 | |
| (619) 444-2191 | |
| Not Available |
| Full Name | Dr Raymond Mansour A Professional Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 343 E Lexington Ave Ste 102, El Cajon, California |
| Authorized Official Name and Position | Raymond N Mansour (DENTIST/OWNER) |
| Authorized Official Contact | 6194442191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raymond Mansour A Professional Dental Corp 343 E Lexington Ave Ste 102 El Cajon CA 92020-4520 Ph: (619) 444-2191 | Dr Raymond Mansour A Professional Dental Corp 343 E Lexington Ave Ste 102 El Cajon CA 92020-4520 Ph: (619) 444-2191 |
| NPI Number | 1366908527 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366908527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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