| Granite Hills Dental Team | |
|
810 Jamacha Rd Suite #104 El Cajon CA 92019-6218 | |
| (619) 579-0233 | |
| (619) 579-0691 |
| Full Name | Granite Hills Dental Team |
|---|---|
| Speciality | Dentist |
| Location | 810 Jamacha Rd, El Cajon, California |
| Authorized Official Name and Position | Leslie Peariso (OFFICE MANAGER) |
| Authorized Official Contact | 6195790233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Hills Dental Team 810 Jamacha Rd Suite #104 El Cajon CA 92019-6218 Ph: (619) 579-0233 | Granite Hills Dental Team 810 Jamacha Rd Suite #104 El Cajon CA 92019-6218 Ph: (619) 579-0233 |
| NPI Number | 1902242068 |
|---|---|
| Provider Enumeration Date | 05/16/2013 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902242068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52948 (California) | Primary |
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