| San Diego County Dental Foundation | |
|
2152 Kurtz St San Diego CA 92110-2024 | |
| (619) 849-8658 | |
| Not Available |
| Full Name | San Diego County Dental Foundation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2152 Kurtz St, San Diego, California |
| Authorized Official Name and Position | Michael G Koonce (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6192757199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego County Dental Foundation 1275 W Morena Blvd Ste B San Diego CA 92110-3860 Ph: (619) 275-7199 | San Diego County Dental Foundation 2152 Kurtz St San Diego CA 92110-2024 Ph: (619) 849-8658 |
| NPI Number | 1720720469 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720720469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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