| Kimball Dental Group Of Mission Valley, Pc | |
|
8590 Rio San Diego Dr Ste 110 San Diego CA 92108-5597 | |
| (619) 299-1122 | |
| Not Available |
| Full Name | Kimball Dental Group Of Mission Valley, Pc |
|---|---|
| Speciality | Dentist |
| Location | 8590 Rio San Diego Dr Ste 110, San Diego, California |
| Authorized Official Name and Position | Twyla M Pardon (REGIONAL DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7144200952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimball Dental Group Of Mission Valley, Pc 31972 Coast Hwy Ste 300 Laguna Beach CA 92651-6762 Ph: (714) 420-0952 | Kimball Dental Group Of Mission Valley, Pc 8590 Rio San Diego Dr Ste 110 San Diego CA 92108-5597 Ph: (619) 299-1122 |
| NPI Number | 1073164141 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073164141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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