| Smilecare Dental Group | |
|
510 Broadway Suite 4 & 5 Chula Vista CA 91910-5306 | |
| (619) 476-9400 | |
| (619) 476-7661 |
| Full Name | Smilecare Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 510 Broadway, Chula Vista, California |
| Authorized Official Name and Position | Elaine Salcido (CONTRACT SUPERVISOR) |
| Authorized Official Contact | 7147085308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilecare Dental Group 2 Macarthur Pl Suite 700 Santa Ana CA 92707-5924 Ph: (714) 708-5308 | Smilecare Dental Group 510 Broadway Suite 4 & 5 Chula Vista CA 91910-5306 Ph: (619) 476-9400 |
| NPI Number | 1861566093 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861566093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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