| Joshua Masillamoni, Dds, Pc | |
|
2452 Fenton St. #304 Chula Vista CA 91914 | |
| (619) 656-4343 | |
| (619) 656-4338 |
| Full Name | Joshua Masillamoni, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2452 Fenton St., Chula Vista, California |
| Authorized Official Name and Position | Joshua Masillamoni (PRESIDENT) |
| Authorized Official Contact | 4104872910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Masillamoni, Dds, Pc 2452 Fenton St Ste 304 Chula Vista CA 91914-4552 Ph: (619) 656-4343 | Joshua Masillamoni, Dds, Pc 2452 Fenton St. #304 Chula Vista CA 91914 Ph: (619) 656-4343 |
| NPI Number | 1871016501 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871016501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 64723 (California) | Primary |
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