| Governor Dental | |
|
4001 Governor Dr San Diego CA 92122-2522 | |
| (858) 997-7390 | |
| Not Available |
| Full Name | Governor Dental |
|---|---|
| Speciality | Dentist |
| Location | 4001 Governor Dr, San Diego, California |
| Authorized Official Name and Position | Joanne Copps (PRESIDENT) |
| Authorized Official Contact | 8589977390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Governor Dental 5181 Argonne Ct San Diego CA 92117-1054 Ph: (858) 997-7390 | Governor Dental 4001 Governor Dr San Diego CA 92122-2522 Ph: (858) 997-7390 |
| NPI Number | 1902140924 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902140924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57267 (California) | Primary |
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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 | |
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