| Pediatric Dentistry Of San Clemente | |
|
903 Calle Amanecer Ste 110 San Clemente CA 92673-6253 | |
| (949) 361-2838 | |
| Not Available |
| Full Name | Pediatric Dentistry Of San Clemente |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 903 Calle Amanecer Ste 110, San Clemente, California |
| Authorized Official Name and Position | Jacob K Lee (CEO) |
| Authorized Official Contact | 9493612838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of San Clemente 903 Calle Amanecer Ste 110 San Clemente CA 92673-6253 Ph: (949) 361-2838 | Pediatric Dentistry Of San Clemente 903 Calle Amanecer Ste 110 San Clemente CA 92673-6253 Ph: (949) 361-2838 |
| NPI Number | 1902687346 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902687346 | NPI | - | NPPES |
| 1790281202 | Other | CA | NPPES |
| 1083768725 | Other | CA | NPPES |
| 1437689395 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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V.mai Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Avenida Pico Ste W, San Clemente, CA 92673 Phone: 949-369-7200 Fax: 949-369-7700 | |
Noahcare.com Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 Camino De Los Mares Ste 108, San Clemente, CA 92673 Phone: 949-300-4882 | |
Seascape Cosmetic And Implant Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Camino De Los Mares, Suite 304, San Clemente, CA 92673 Phone: 949-496-5001 Fax: 888-285-5330 | |
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