| Justin Seng, D.d.s. | |
|
4698 Convoy Street #203 San Diego CA 92111 | |
| (858) 565-2811 | |
| (858) 565-2814 |
| Full Name | Justin Seng, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4698 Convoy Street #203, San Diego, California |
| Authorized Official Name and Position | Connie Seng (OFFICE MANAGER) |
| Authorized Official Contact | 8585652811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Seng, D.d.s. 4698 Convoy Street #203 San Diego CA 92111 Ph: (858) 565-2811 | Justin Seng, D.d.s. 4698 Convoy Street #203 San Diego CA 92111 Ph: (858) 565-2811 |
| NPI Number | 1306068887 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306068887 | NPI | - | NPPES |
| 30683 | Other | CA | LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30683 (California) | Primary |
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