| Nbdc San Diego | |
|
2310 Craven St San Diego CA 92136-5596 | |
| (619) 556-8200 | |
| Not Available |
| Full Name | Nbdc San Diego |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2310 Craven St, San Diego, California |
| Authorized Official Name and Position | Peter A Ruocco (DIRECTOR FOR DENTAL SERVICES) |
| Authorized Official Contact | 6195568200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nbdc San Diego 2310 Craven St San Diego CA 92136-5596 Ph: (619) 556-8200 | Nbdc San Diego 2310 Craven St San Diego CA 92136-5596 Ph: (619) 556-8200 |
| NPI Number | 1588842413 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588842413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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