Justin N Naylor Dds Professional Dental Corp | |
12264 El Camino Real Ste 206 San Diego CA 92130-3061 | |
(858) 755-4787 | |
(858) 755-7704 |
Full Name | Justin N Naylor Dds Professional Dental Corp |
---|---|
Speciality | Dentist - Endodontics |
Location | 12264 El Camino Real Ste 206, San Diego, California |
Authorized Official Name and Position | Justin N Naylor (ENDODONTIST/OWNER) |
Authorized Official Contact | 8587554787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Justin N Naylor Dds Professional Dental Corp 12264 El Camino Real Ste 206 San Diego CA 92130-3061 Ph: (858) 755-4787 | Justin N Naylor Dds Professional Dental Corp 12264 El Camino Real Ste 206 San Diego CA 92130-3061 Ph: (858) 755-4787 |
NPI Number | 1093554677 |
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Provider Enumeration Date | 05/22/2024 |
Last Update Date | 05/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093554677 | NPI | - | NPPES |
1053324772 | Other | ENDODONTIC SPECIALTY OFFICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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