| International Academy Of Dental Implant | |
|
6727 Flanders Dr Ste 220 San Diego CA 92121-2926 | |
| (858) 229-9869 | |
| Not Available |
| Full Name | International Academy Of Dental Implant |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6727 Flanders Dr Ste 220, San Diego, California |
| Authorized Official Name and Position | Samuel S Lee (PRESIDENT) |
| Authorized Official Contact | 7147183446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Academy Of Dental Implant 6727 Flanders Drive #220 San Diego CA 92121 Ph: (858) 229-9869 | International Academy Of Dental Implant 6727 Flanders Dr Ste 220 San Diego CA 92121-2926 Ph: (858) 229-9869 |
| NPI Number | 1528410123 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 07/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528410123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58462 (California) | Secondary |
| 1223P0300X | Dentist - Periodontics | 51353 (California) | Primary |
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