| International Dental Providers Corp. | |
|
1594 Woodlark Ct Chula Vista CA 91911-5321 | |
| (619) 691-8180 | |
| (619) 691-1201 |
| Full Name | International Dental Providers Corp. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1594 Woodlark Ct, Chula Vista, California |
| Authorized Official Name and Position | Angel Serrano (OWNER) |
| Authorized Official Contact | 6196918180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Dental Providers Corp. 1594 Woodlark Ct Chula Vista CA 91911-5321 Ph: (619) 691-8180 | International Dental Providers Corp. 1594 Woodlark Ct Chula Vista CA 91911-5321 Ph: (619) 691-8180 |
| NPI Number | 1396991295 |
|---|---|
| Provider Enumeration Date | 08/11/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396991295 | NPI | - | NPPES |
| 104 | Other | CA | DENTAL HEALTH SERVICES OF CALIFORNIA |
| 1369 | Other | CA | WESTERN DENTAL SERVICES, INC |
| 4048 | Other | CA | LIBERTY DENTAL PLANS OF CALIFORNIA |
| 325977 | Other | CA | PACIFIC UNION DENTAL, INC |
| 1141 | Other | CA | SAFEGUARD HEALTH PLANS, INC. |
| 1327 | Other | CA | CALIFORNIA DENTAL NETWORK, INC |
| 1185 | Other | CA | GOLDEN WEST HEALTH PLANS, INC |
| 351398 | Other | CA | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC |
| 44010 | Other | CA | PACIFICARE DENTAL & VISION ADMINISTRATORS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 512443 (ZZ) | Primary |
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