| Mira Costa Dental | |
|
3502 College Blvd Ste B Oceanside CA 92056 | |
| (760) 941-7502 | |
| (760) 940-2704 |
| Full Name | Mira Costa Dental |
|---|---|
| Speciality | Dentist |
| Location | 3502 College Blvd, Oceanside, California |
| Authorized Official Name and Position | Jose M Duenes (OWNER PRESIDENT) |
| Authorized Official Contact | 7609417502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Costa Dental 3502 College Blvd Ste B Oceanside CA 92056 Ph: (760) 941-7502 | Mira Costa Dental 3502 College Blvd Ste B Oceanside CA 92056 Ph: (760) 941-7502 |
| NPI Number | 1760682686 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760682686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 35047 (California) | Primary |
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