| Great Smiles Of La Mesa | |
|
5208 Jackson Dr Ste 108 La Mesa CA 91942-7902 | |
| (619) 466-4448 | |
| (619) 466-4449 |
| Full Name | Great Smiles Of La Mesa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5208 Jackson Dr Ste 108, La Mesa, California |
| Authorized Official Name and Position | Sherin C Johnson (OWNER) |
| Authorized Official Contact | 6194664448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Smiles Of La Mesa 5208 Jackson Dr Ste 108 La Mesa CA 91942-7902 Ph: (619) 466-4448 | Great Smiles Of La Mesa 5208 Jackson Dr Ste 108 La Mesa CA 91942-7902 Ph: (619) 466-4448 |
| NPI Number | 1720470479 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720470479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 59889 (California) | Primary |
Peter F Johnson Dmd A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Suite 110-1, La Mesa, CA 91942 Phone: 619-463-3737 Fax: 619-463-3730 | |
Rigoberto Cervantes, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8341 La Mesa Blvd, La Mesa, CA 91942 Phone: 650-483-5350 | |
Salehpour Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5153 Jackson Dr, La Mesa, CA 91942 Phone: 619-460-2280 Fax: 619-460-2285 | |
Dr. Anthony P. Varboncoeur Dds,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Suite 129, La Mesa, CA 91942 Phone: 619-463-4486 | |
Prasad Gonavarum D.d.s., Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7122 University Ave, La Mesa, CA 91942 Phone: 619-698-5471 | |
Smile Dental Of San Diego Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7484 University Ave Ste 150, La Mesa, CA 91942 Phone: 619-462-2272 Fax: 619-462-2290 | |
Paul J Michels Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8960 Fletcher Pkwy Ste D, La Mesa, CA 91942 Phone: 619-345-7999 Fax: 619-797-1720 |