| Socal Regeneration Inc | |
|
2700 Adams Ave Ste 209 San Diego CA 92116-1367 | |
| (619) 917-7766 | |
| Not Available |
| Full Name | Socal Regeneration Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2700 Adams Ave Ste 209, San Diego, California |
| Authorized Official Name and Position | Carlos S Montalvo (PRESIDENT) |
| Authorized Official Contact | 6199177766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Regeneration Inc 2700 Adams Ave Ste 209 San Diego CA 92116-1367 Ph: (619) 917-7766 | Socal Regeneration Inc 2700 Adams Ave Ste 209 San Diego CA 92116-1367 Ph: (619) 917-7766 |
| NPI Number | 1265186654 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 07/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265186654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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