| Melrose Square Dental Group | |
|
1680 S Melrose Dr #108 Vista CA 92081-5472 | |
| (760) 727-6800 | |
| Not Available |
| Full Name | Melrose Square Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1680 S Melrose Dr, Vista, California |
| Authorized Official Name and Position | Stuart Tani (PRESIDENT) |
| Authorized Official Contact | 7607276800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melrose Square Dental Group 1680 S Melrose Dr #108 Vista CA 92081-5472 Ph: (760) 727-6800 | Melrose Square Dental Group 1680 S Melrose Dr #108 Vista CA 92081-5472 Ph: (760) 727-6800 |
| NPI Number | 1518183003 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518183003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 32622 (California) | Primary |
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