Philip G. Menna, D.d.s., Inc | |
4002 Park Blvd Ste D San Diego CA 92103-2600 | |
(619) 220-7000 | |
Not Available |
Full Name | Philip G. Menna, D.d.s., Inc |
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Speciality | Dentist - General Practice |
Location | 4002 Park Blvd Ste D, San Diego, California |
Authorized Official Name and Position | Philip G. Menna (DENTIST) |
Authorized Official Contact | 6192207000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Philip G. Menna, D.d.s., Inc 4002 Park Blvd Ste D San Diego CA 92103-2600 Ph: (619) 220-7000 | Philip G. Menna, D.d.s., Inc 4002 Park Blvd Ste D San Diego CA 92103-2600 Ph: (619) 220-7000 |
NPI Number | 1396044616 |
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Provider Enumeration Date | 03/25/2011 |
Last Update Date | 03/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396044616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 21613 (California) | Primary |
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