Leslie K Bonar Dds Apc & Charles U Basso Dds Apc Ptr | |
457 E Grand Ave Ste 4 Escondido CA 92025-3353 | |
(760) 747-7878 | |
(760) 747-2156 |
Full Name | Leslie K Bonar Dds Apc & Charles U Basso Dds Apc Ptr |
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Speciality | Dentist |
Location | 457 E Grand Ave Ste 4, Escondido, California |
Authorized Official Name and Position | Dorcy L Norton (OFFICE MANAGER) |
Authorized Official Contact | 7607477878 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Leslie K Bonar Dds Apc & Charles U Basso Dds Apc Ptr 457 E Grand Ave Ste 4 Escondido CA 92025-3353 Ph: (760) 747-7878 | Leslie K Bonar Dds Apc & Charles U Basso Dds Apc Ptr 457 E Grand Ave Ste 4 Escondido CA 92025-3353 Ph: (760) 747-7878 |
NPI Number | 1487709572 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 09/01/2015 |
Medicare PECOS PAC ID | 6608182514 |
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Medicare Enrollment ID | O20150908001673 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487709572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 38206 (California) | Secondary |
1223G0001X | Dentist - General Practice | 46240 (California) | Primary |
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