| Kearny Dental | |
|
4626 Mercury St San Diego CA 92111-2410 | |
| (858) 292-8180 | |
| (858) 292-0690 |
| Full Name | Kearny Dental |
|---|---|
| Speciality | Dentist |
| Location | 4626 Mercury St, San Diego, California |
| Authorized Official Name and Position | Gregory Parke Davis (PRESIDENT) |
| Authorized Official Contact | 8582928180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kearny Dental 4626 Mercury St San Diego CA 92111-2410 Ph: (858) 292-8180 | Kearny Dental 4626 Mercury St San Diego CA 92111-2410 Ph: (858) 292-8180 |
| NPI Number | 1457535700 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457535700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21869 (California) | Primary |
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