| Jim M Fisher Dmd Inc | |
|
1580 S Melrose Dr Ste 112 Vista CA 92081-7469 | |
| (760) 727-1089 | |
| Not Available |
| Full Name | Jim M Fisher Dmd Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1580 S Melrose Dr Ste 112, Vista, California |
| Authorized Official Name and Position | Jim Fisher (PRESIDENT) |
| Authorized Official Contact | 7607271089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim M Fisher Dmd Inc 1580 S Melrose Dr Ste 112 Vista CA 92081-7469 Ph: (760) 727-1089 | Jim M Fisher Dmd Inc 1580 S Melrose Dr Ste 112 Vista CA 92081-7469 Ph: (760) 727-1089 |
| NPI Number | 1083150197 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083150197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30720 (California) | Primary |
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