| Iadi, Inc | |
|
440 S Melrose Dr Ste 100 Vista CA 92081-6666 | |
| (858) 229-9869 | |
| Not Available |
| Full Name | Iadi, Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 440 S Melrose Dr Ste 100, Vista, California |
| Authorized Official Name and Position | Samuel Lee (PRESIDENT) |
| Authorized Official Contact | 8582299869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iadi, Inc 440 S Melrose Dr Ste 100 Vista CA 92081-6666 Ph: (858) 229-9869 | Iadi, Inc 440 S Melrose Dr Ste 100 Vista CA 92081-6666 Ph: (858) 229-9869 |
| NPI Number | 1891560280 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891560280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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