| Gary And Mary West Senior Dental Center, Inc. | |
|
1525 4th Ave San Diego CA 92101-3107 | |
| (760) 602-5862 | |
| Not Available |
| Full Name | Gary And Mary West Senior Dental Center, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1525 4th Ave, San Diego, California |
| Authorized Official Name and Position | Karen Becerra (PRESIDENT AND DENTIST) |
| Authorized Official Contact | 7606025862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary And Mary West Senior Dental Center, Inc. 1525 4th Ave San Diego CA 92101-3107 Ph: (760) 602-5862 | Gary And Mary West Senior Dental Center, Inc. 1525 4th Ave San Diego CA 92101-3107 Ph: (760) 602-5862 |
| NPI Number | 1396111530 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396111530 | NPI | - | NPPES |
| 1740451012 | Other | CA | INDIVIDUAL DENTAL PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 55692 (California) | Primary |
Robert Selis Dds.inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3530 Camino Del Rio N, 109, San Diego, CA 92108 Phone: 619-283-2093 | |
Elmira Khodapanah Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2333 Camino Del Rio S Ste 140, San Diego, CA 92108 Phone: 619-574-1810 Fax: 619-574-1326 | |
Roya Mirkhan,dmd,msd,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12395 El Camino Real, Suite Number 314, San Diego, CA 92130 Phone: 858-337-6264 Fax: 858-755-6260 | |
Reesor Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11968 Bernardo Plaza Dr, San Diego, CA 92128 Phone: 858-521-0000 | |
Dr. Hoss, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11943 El Camino Real Ste 200, San Diego, CA 92130 Phone: 858-336-8478 | |
Doan Doan And Tran Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7825 Engineer Rd Ste 111, San Diego, CA 92111 Phone: 858-279-1004 Fax: 858-268-1004 | |
Sia-zol, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9330 Mira Mesa Blvd Ste F, San Diego, CA 92126 Phone: 858-536-7005 Fax: 858-536-7006 |