| San Diego Maxillofacial Surgery, Evans-hammer Dental Corporation | |
|
2185 Citracado Pkwy Escondido CA 92029-4159 | |
| (805) 455-6057 | |
| Not Available |
| Full Name | San Diego Maxillofacial Surgery, Evans-hammer Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2185 Citracado Pkwy, Escondido, California |
| Authorized Official Name and Position | Brian Evans (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8583358892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Maxillofacial Surgery, Evans-hammer Dental Corporation Po Box 27028 San Diego CA 92198-1028 Ph: (805) 455-6057 | San Diego Maxillofacial Surgery, Evans-hammer Dental Corporation 2185 Citracado Pkwy Escondido CA 92029-4159 Ph: (805) 455-6057 |
| NPI Number | 1093523656 |
|---|---|
| Provider Enumeration Date | 12/27/2024 |
| Last Update Date | 12/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093523656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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