| Raymond E Carpenter D D S Inc | |
|
4320 Genesee Ave Ste 207 San Diego CA 92117-4900 | |
| (858) 775-6361 | |
| Not Available |
| Full Name | Raymond E Carpenter D D S Inc |
|---|---|
| Speciality | Dentist |
| Location | 4320 Genesee Ave Ste 207, San Diego, California |
| Authorized Official Name and Position | Raymond E Carpenter (OWNER) |
| Authorized Official Contact | 8587756361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond E Carpenter D D S Inc 4320 Genesee Ave Ste 207 San Diego CA 92117-4900 Ph: (858) 775-6361 | Raymond E Carpenter D D S Inc 4320 Genesee Ave Ste 207 San Diego CA 92117-4900 Ph: (858) 775-6361 |
| NPI Number | 1780445601 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 04/18/2024 |
| Medicare PECOS PAC ID | 7012356298 |
|---|---|
| Medicare Enrollment ID | O20240420000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780445601 | NPI | - | NPPES |
| Provider Name | Raymond E. Carpenter |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215076534 PECOS PAC ID: 7315386513 Enrollment ID: I20240422000622 |
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