| Sidney L. Spector, Dds, Prof. Corp, | |
|
9855 Erma Rd Ste 110 San Diego CA 92131-3001 | |
| (858) 578-2205 | |
| (858) 578-1753 |
| Full Name | Sidney L. Spector, Dds, Prof. Corp, |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 9855 Erma Rd, San Diego, California |
| Authorized Official Name and Position | Sidney Lloyd Spector (OWNER) |
| Authorized Official Contact | 8585782205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney L. Spector, Dds, Prof. Corp, 9855 Erma Rd Ste 110 San Diego CA 92131-3001 Ph: (858) 578-2205 | Sidney L. Spector, Dds, Prof. Corp, 9855 Erma Rd Ste 110 San Diego CA 92131-3001 Ph: (858) 578-2205 |
| NPI Number | 1902919269 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 05/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902919269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 27073 (California) | Primary |
| 124Q00000X | Dental Hygienist | 6252 (California) | Secondary |
| 124Q00000X | Dental Hygienist | 20492 (California) | Secondary |
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