| North County Cosmetic And Implant Dentistry | |
|
1934 Via Ctr Ste A Vista CA 92081-6056 | |
| (760) 940-2273 | |
| Not Available |
| Full Name | North County Cosmetic And Implant Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1934 Via Ctr, Vista, California |
| Authorized Official Name and Position | Christopher Henninger (CEO) |
| Authorized Official Contact | 7609402273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North County Cosmetic And Implant Dentistry 1934 Via Ctr Ste A Vista CA 92081-6056 Ph: (760) 940-2273 | North County Cosmetic And Implant Dentistry 1934 Via Ctr Ste A Vista CA 92081-6056 Ph: (760) 940-2273 |
| NPI Number | 1063891851 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 1658686522 |
|---|---|
| Medicare Enrollment ID | O20150820012353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063891851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57722 (California) | Primary |
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