| Elite Orthodontic Specialists | |
|
3001 Bonita Rd Ste 400 Chula Vista CA 91910-3243 | |
| (619) 425-1554 | |
| (619) 425-1557 |
| Full Name | Elite Orthodontic Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3001 Bonita Rd Ste 400, Chula Vista, California |
| Authorized Official Name and Position | Suhasini Sharma (PRESIDENT) |
| Authorized Official Contact | 6194251554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Orthodontic Specialists 3001 Bonita Rd Suite #400 Chula Vista CA 91910-3224 Ph: (619) 425-1554 | Elite Orthodontic Specialists 3001 Bonita Rd Ste 400 Chula Vista CA 91910-3243 Ph: (619) 425-1554 |
| NPI Number | 1982956579 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982956579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52468 (California) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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