| |
595 N Westwind Dr El Cajon CA 92020-2844 | |
(619) 442-0983 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 595 N Westwind Dr, El Cajon, California |
Authorized Official Name and Position | David D Keen (PRESIDENT) |
Authorized Official Contact | 6194420983 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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595 N Westwind Dr El Cajon CA 92020-2844 Ph: (619) 442-0983 | 595 N Westwind Dr El Cajon CA 92020-2844 Ph: (619) 442-0983 |
NPI Number | 1386199784 |
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Provider Enumeration Date | 08/16/2016 |
Last Update Date | 08/16/2016 |
Identifier | Type | State | Issuer |
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1386199784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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