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3144 El Camino Real Suite 103 Carlsbad CA 92008-2194 | |
| (760) 434-9800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3144 El Camino Real, Carlsbad, California |
| Authorized Official Name and Position | Megan Shelton (OWNER / PRESIDENT) |
| Authorized Official Contact | 3163939162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3144 El Camino Real Suite 103 Carlsbad CA 92008-2194 Ph: (760) 434-9800 | 3144 El Camino Real Suite 103 Carlsbad CA 92008-2194 Ph: (760) 434-9800 |
| NPI Number | 1861936056 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861936056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 63304 (California) | Primary |
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