| Mira Mesa Dental Care | |
|
819 D Avenue, Suite 101 National City CA 91950-3465 | |
| (619) 470-2558 | |
| (619) 475-0799 |
| Full Name | Mira Mesa Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 819 D Avenue, Suite 101, National City, California |
| Authorized Official Name and Position | Rossana Tabal Alfonso (OWNER) |
| Authorized Official Contact | 6194702558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Mesa Dental Care 819 D Avenue, Suite 101 National City CA 91950-3465 Ph: (619) 470-2558 | Mira Mesa Dental Care 819 D Avenue, Suite 101 National City CA 91950-3465 Ph: (619) 470-2558 |
| NPI Number | 1952647208 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 06/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952647208 | NPI | - | NPPES |
| 1013114156 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | 49220 (California) | Secondary |
Kuruvadi, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1626 Sweetwater Rd Ste A, National City, CA 91950 Phone: 619-474-1554 Fax: 619-474-1584 | |
Lilia Larin Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Mile Of Cars Way, National City, CA 91950 Phone: 619-477-1970 | |
Purita B Ebbay Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 E Plaza Blvd, #c, National City, CA 91950 Phone: 619-477-1577 Fax: 619-477-6014 | |
Eleanor M Lumahan Dds Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1127 Highland Ave, National City, CA 91950 Phone: 619-336-6063 Fax: 619-336-6066 | |
Mariflor Duhay Dds A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2240 E Plaza Blvd Ste O, National City, CA 91950 Phone: 619-475-2995 | |
Aileen L. Arce Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2240 E Plaza Blvd Ste J, National City, CA 91950 Phone: 619-475-5767 Fax: 619-475-5417 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1539 E Plaza Blvd, Ste. #a, National City, CA 91950 Phone: 619-474-7900 Fax: 619-474-4653 |