| North County Dental Specialties | |
|
1356 W Valley Pkwy Ste J Escondido CA 92029-2138 | |
| (760) 233-5887 | |
| Not Available |
| Full Name | North County Dental Specialties |
|---|---|
| Speciality | Dentist |
| Location | 1356 W Valley Pkwy Ste J, Escondido, California |
| Authorized Official Name and Position | Andy Hoang (PRESIDENT) |
| Authorized Official Contact | 7602335887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North County Dental Specialties 1356 W Valley Pkwy Ste J Escondido CA 92029-2138 Ph: (760) 233-5887 | North County Dental Specialties 1356 W Valley Pkwy Ste J Escondido CA 92029-2138 Ph: (760) 233-5887 |
| NPI Number | 1548821572 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 11/09/2020 |
| Medicare PECOS PAC ID | 9638588064 |
|---|---|
| Medicare Enrollment ID | O20210514000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548821572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Andy T Hoang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477669943 PECOS PAC ID: 0648411181 Enrollment ID: I20190529000377 |
| Provider Name | Robert N Sharobiem |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1770898702 PECOS PAC ID: 6103100672 Enrollment ID: I20211117001736 |
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