| South Bay Chula Vista Family Dental | |
|
290 Landis Ave Suite A & B Chula Vista CA 91910-2636 | |
| (619) 691-0121 | |
| (619) 691-0841 |
| Full Name | South Bay Chula Vista Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 290 Landis Ave, Chula Vista, California |
| Authorized Official Name and Position | Nicole Reid (REGIONAL MANAGER) |
| Authorized Official Contact | 6192611670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Chula Vista Family Dental 290 Landis Ave Suite A & B Chula Vista CA 91910-2636 Ph: (619) 691-0121 | South Bay Chula Vista Family Dental 290 Landis Ave Suite A & B Chula Vista CA 91910-2636 Ph: (619) 691-0121 |
| NPI Number | 1427166057 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427166057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31040 (California) | Primary |
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