Hoss/keri Km Dental Group, A Professional Corporation | |
9737 Aero Drive Ste 210 San Diego CA 92123 | |
(619) 636-2665 | |
Not Available |
Full Name | Hoss/keri Km Dental Group, A Professional Corporation |
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Speciality | Dentist - Pediatric Dentistry |
Location | 9737 Aero Drive Ste 210, San Diego, California |
Authorized Official Name and Position | Laura Flores (MANAGER) |
Authorized Official Contact | 6199619867 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hoss/keri Km Dental Group, A Professional Corporation 9737 Aero Dr Ste 210 San Diego CA 92123-1854 Ph: (619) 636-2665 | Hoss/keri Km Dental Group, A Professional Corporation 9737 Aero Drive Ste 210 San Diego CA 92123 Ph: (619) 636-2665 |
NPI Number | 1235655788 |
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Provider Enumeration Date | 08/16/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235655788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 42542 (California) | Primary |
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