|
| |
|
2635 Gateway Rd Suite 101 Carlsbad CA 92009-1753 | |
| (760) 431-8112 | |
| (760) 929-8776 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2635 Gateway Rd, Carlsbad, California |
| Authorized Official Name and Position | Clinton H Park (OWNER DOCTOR) |
| Authorized Official Contact | 7604318112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 2635 Gateway Rd Suite 101 Carlsbad CA 92009-1753 Ph: (760) 431-8112 |
| NPI Number | 1083848568 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083848568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Bressi Ranch Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6221 Metropolitan St Ste 200, Carlsbad, CA 92009 Phone: 760-602-9500 Fax: 760-602-9510 | |
Maricelle R. Ortiz-luis, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2515 Pio Pico Dr, Suite B, Carlsbad, CA 92008 Phone: 760-434-3119 Fax: 760-434-3438 | |
Ida Alfonso Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5814 Van Allen Way, Carlsbad, CA 92008 Phone: 760-931-0144 |