| Half Dental Rancho Bernardo Inc | |
|
16476 Bernardo Center Dr Suite 200 San Diego CA 92128-2515 | |
| (909) 576-3999 | |
| Not Available |
| Full Name | Half Dental Rancho Bernardo Inc |
|---|---|
| Speciality | Dentist |
| Location | 16476 Bernardo Center Dr, San Diego, California |
| Authorized Official Name and Position | Robert James Houchin (PRESIDENT) |
| Authorized Official Contact | 9095763999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Half Dental Rancho Bernardo Inc 915 W Foothill Blvd Suite C-292 Claremont CA 91711-3356 Ph: (909) 576-3999 | Half Dental Rancho Bernardo Inc 16476 Bernardo Center Dr Suite 200 San Diego CA 92128-2515 Ph: (909) 576-3999 |
| NPI Number | 1821463340 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821463340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28166 (California) | Primary |
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