| North Coast Family Dental | |
|
365 S Rancho Santa Fe Rd Ste 105 San Marcos CA 92078-2338 | |
| (760) 736-9200 | |
| Not Available |
| Full Name | North Coast Family Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 365 S Rancho Santa Fe Rd Ste 105, San Marcos, California |
| Authorized Official Name and Position | Roberto Salazar (PRESIDENT) |
| Authorized Official Contact | 7605252997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Coast Family Dental 1001 W San Marcos Blvd Ste 106c San Marcos CA 92078-4012 Ph: () - | North Coast Family Dental 365 S Rancho Santa Fe Rd Ste 105 San Marcos CA 92078-2338 Ph: (760) 736-9200 |
| NPI Number | 1932722519 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 07/15/2021 |
| Medicare PECOS PAC ID | 1052732237 |
|---|---|
| Medicare Enrollment ID | O20200526000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932722519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Roberto Salazar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063795797 PECOS PAC ID: 2961823141 Enrollment ID: I20200526000246 |
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