| Grand Smiles Family And Cosmetic Dentistry | |
|
3643 Grand Ave Suite D San Marcos CA 92078-2336 | |
| (760) 734-6829 | |
| (760) 734-6839 |
| Full Name | Grand Smiles Family And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3643 Grand Ave, San Marcos, California |
| Authorized Official Name and Position | Jose Emmanuel Rubio De Luna (DENTIST/PRESIDENT) |
| Authorized Official Contact | 7607346829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Smiles Family And Cosmetic Dentistry 3643 Grand Ave Suite D San Marcos CA 92078-2336 Ph: (760) 734-6829 | Grand Smiles Family And Cosmetic Dentistry 3643 Grand Ave Suite D San Marcos CA 92078-2336 Ph: (760) 734-6829 |
| NPI Number | 1093980732 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093980732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47711 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 40781 (California) | Secondary |
Deluna Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3643 Grand Ave, Suite #d, San Marcos, CA 92078 Phone: 760-734-6829 Fax: 760-734-6839 | |
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Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 S Rancho Santa Fe Rd, San Marcos, CA 92078 Phone: 760-916-9595 Fax: 760-916-9604 | |
Tyler Nelson, Dds, Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Boardwalk Ste 100, San Marcos, CA 92078 Phone: 760-644-5494 |