| Promenade Dentists Dental Group | |
|
2710 Via De La Valle Suite B250 Del Mar CA 92014 | |
| (858) 703-1012 | |
| (858) 224-0955 |
| Full Name | Promenade Dentists Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 2710 Via De La Valle, Del Mar, California |
| Authorized Official Name and Position | Justin Mercer (OWNER) |
| Authorized Official Contact | 8587031012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promenade Dentists Dental Group Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | Promenade Dentists Dental Group 2710 Via De La Valle Suite B250 Del Mar CA 92014 Ph: (858) 703-1012 |
| NPI Number | 1245751924 |
|---|---|
| Provider Enumeration Date | 07/03/2017 |
| Last Update Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245751924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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