| Pearlmax Oral Surgery | |
|
4094 4th Ave Suite 101 San Diego CA 92103-2143 | |
| (619) 297-3275 | |
| (619) 297-3033 |
| Full Name | Pearlmax Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4094 4th Ave, San Diego, California |
| Authorized Official Name and Position | German Trujillo (OWNER) |
| Authorized Official Contact | 6192047722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearlmax Oral Surgery 4094 4th Ave Suite 101 San Diego CA 92103-2143 Ph: (619) 297-3275 | Pearlmax Oral Surgery 4094 4th Ave Suite 101 San Diego CA 92103-2143 Ph: (619) 297-3275 |
| NPI Number | 1407185234 |
|---|---|
| Provider Enumeration Date | 12/07/2009 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407185234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 57008 (California) | Primary |
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