Raul Eduardo Arrechea D.d.s. Inc. | |
2016 Highland Ave National City CA 91950-5835 | |
(619) 477-3770 | |
Not Available |
Full Name | Raul Eduardo Arrechea D.d.s. Inc. |
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Speciality | Dentist |
Location | 2016 Highland Ave, National City, California |
Authorized Official Name and Position | Raul Eduardo Arrechea (OWNER/DENTIST) |
Authorized Official Contact | 6194773770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raul Eduardo Arrechea D.d.s. Inc. 2016 Highland Ave National City CA 91950-5835 Ph: (619) 477-3770 | Raul Eduardo Arrechea D.d.s. Inc. 2016 Highland Ave National City CA 91950-5835 Ph: (619) 477-3770 |
NPI Number | 1912458993 |
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Provider Enumeration Date | 10/14/2016 |
Last Update Date | 12/29/2016 |
Medicare PECOS PAC ID | 2264713700 |
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Medicare Enrollment ID | O20161221001669 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912458993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 58001 (California) | Primary |
Provider Name | Raul Eduardo Arrechea |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1487891313 PECOS PAC ID: 1850672833 Enrollment ID: I20170116000274 |
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