| Ri Maroon Dental Group Pc | |
|
1339 Third Ave Chula Vista CA 91911-4302 | |
| (619) 426-2040 | |
| (619) 863-0251 |
| Full Name | Ri Maroon Dental Group Pc |
|---|---|
| Speciality | Dentist |
| Location | 1339 Third Ave, Chula Vista, California |
| Authorized Official Name and Position | Robert Edward Maroon (SECRETARY) |
| Authorized Official Contact | 6199470394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri Maroon Dental Group Pc 1339 Third Ave Chula Vista CA 91911-4302 Ph: (619) 426-2040 | Ri Maroon Dental Group Pc 1339 Third Ave Chula Vista CA 91911-4302 Ph: (619) 426-2040 |
| NPI Number | 1598371718 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598371718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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