| Emerald Dental Practice | |
|
4645 Frazee Rd Ste A Oceanside CA 92057-6152 | |
| (760) 722-0137 | |
| (760) 722-2696 |
| Full Name | Emerald Dental Practice |
|---|---|
| Speciality | Dentist |
| Location | 4645 Frazee Rd Ste A, Oceanside, California |
| Authorized Official Name and Position | Gulalai Matin (OWNER) |
| Authorized Official Contact | 7607220137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Dental Practice 4645 Frazee Rd Ste A Oceanside CA 92057-6152 Ph: (760) 722-0137 | Emerald Dental Practice 4645 Frazee Rd Ste A Oceanside CA 92057-6152 Ph: (760) 722-0137 |
| NPI Number | 1831503689 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 06/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831503689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43199 (California) | Primary |
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