| Packard Dental Group Inc | |
|
725 Grand Ave Carlsbad CA 92008 | |
| (760) 729-4904 | |
| (760) 729-3132 |
| Full Name | Packard Dental Group Inc |
|---|---|
| Speciality | Dentist |
| Location | 725 Grand Ave, Carlsbad, California |
| Authorized Official Name and Position | Mark D Packard (PRESIDENT) |
| Authorized Official Contact | 7607294904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Packard Dental Group Inc 725 Grand Ave Carlsbad CA 92008 Ph: (760) 729-4904 | Packard Dental Group Inc 725 Grand Ave Carlsbad CA 92008 Ph: (760) 729-4904 |
| NPI Number | 1861585804 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861585804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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