| Platinum Dental, Inc | |
|
555 S Rancho Santa Fe Rd Suite 100 San Marcos CA 92078-3698 | |
| (760) 510-9009 | |
| (760) 510-8008 |
| Full Name | Platinum Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 555 S Rancho Santa Fe Rd, San Marcos, California |
| Authorized Official Name and Position | Sonny V Eslampour (DENTIST) |
| Authorized Official Contact | 7605109009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Dental, Inc 555 S Rancho Santa Fe Rd Suite 100 San Marcos CA 92078-3698 Ph: (760) 510-9009 | Platinum Dental, Inc 555 S Rancho Santa Fe Rd Suite 100 San Marcos CA 92078-3698 Ph: (760) 510-9009 |
| NPI Number | 1255623823 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 05/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255623823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44585 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 44045 (California) | Secondary |
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