| San Luis Oral And Maxillofacial Surgery And Dental Implant Center | |
|
77 Casa St Suite 101 San Luis Obispo CA 93405-5803 | |
| (805) 541-5611 | |
| (805) 541-2328 |
| Full Name | San Luis Oral And Maxillofacial Surgery And Dental Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 77 Casa St, San Luis Obispo, California |
| Authorized Official Name and Position | Adam Joseph Janette (DDS/OWNER) |
| Authorized Official Contact | 8055415611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Luis Oral And Maxillofacial Surgery And Dental Implant Center 77 Casa St Suite 101 San Luis Obispo CA 93405-5803 Ph: (805) 541-5611 | San Luis Oral And Maxillofacial Surgery And Dental Implant Center 77 Casa St Suite 101 San Luis Obispo CA 93405-5803 Ph: (805) 541-5611 |
| NPI Number | 1144251307 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144251307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 44324 (California) | Primary |
Pacific Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 Osos St, San Luis Obispo, CA 93401 Phone: 805-544-3434 Fax: 805-544-3443 | |
Ricuccio A. Negom Dds, A Professioal Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Tank Farm Rd Ste 170, San Luis Obispo, CA 93401 Phone: 805-549-9000 Fax: 805-549-9004 | |
Pacific Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 Osos St, San Luis Obispo, CA 93401 Phone: 805-544-3434 Fax: 805-544-3443 | |
Doan Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4251 S Higuera St Ste 101, San Luis Obispo, CA 93401 Phone: 805-538-1888 | |
Ron Barbieri Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 Pacific St, San Luis Obispo, CA 93401 Phone: 805-543-0753 | |
Jac W. Pedersen Ii, D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 California Blvd Ste H, San Luis Obispo, CA 93401 Phone: 805-544-8111 Fax: 805-544-6309 |