Milan Dental | |
4275 Executive Sq Ste 200 La Jolla CA 92037-1476 | |
(619) 488-3200 | |
(866) 272-6924 |
Full Name | Milan Dental |
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Speciality | Dentist |
Location | 4275 Executive Sq Ste 200, La Jolla, California |
Authorized Official Name and Position | Janeth Milan Camarillo (DENTIST) |
Authorized Official Contact | 6194883200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Milan Dental 24280 General Lazaro Cardenas Tijuana BAJA CALIFORNIA 22000 Ph: () - | Milan Dental 4275 Executive Sq Ste 200 La Jolla CA 92037-1476 Ph: (619) 488-3200 |
NPI Number | 1912402074 |
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Provider Enumeration Date | 03/29/2018 |
Last Update Date | 03/29/2018 |
Identifier | Type | State | Issuer |
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1912402074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7022278 (ZZ) | Primary |
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