| South Bay Pediatric Dental Group | |
|
2446 Fenton St Suite 102 Chula Vista CA 91914-3516 | |
| (619) 216-1100 | |
| (619) 216-1127 |
| Full Name | South Bay Pediatric Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2446 Fenton St, Chula Vista, California |
| Authorized Official Name and Position | Todd W Pacofsky (PARTNER) |
| Authorized Official Contact | 6192161100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Pediatric Dental Group 2446 Fenton St Suite 102 Chula Vista CA 91914-3516 Ph: (619) 216-1100 | South Bay Pediatric Dental Group 2446 Fenton St Suite 102 Chula Vista CA 91914-3516 Ph: (619) 216-1100 |
| NPI Number | 1467649350 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467649350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Latino Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 3rd Ave Ste A, Chula Vista, CA 91911 Phone: 619-422-0300 Fax: 619-425-4039 | |
Hoss Keri El Dental Group A Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2226 Otay Lakes Rd, Chula Vista, CA 91915 Phone: 619-216-7336 | |
Casglez Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Tierra Del Rey Ste 211, Chula Vista, CA 91910 Phone: 858-294-4152 | |
Chula Vista Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Tierra Del Rey, Suite 103, Chula Vista, CA 91910 Phone: 619-482-1210 Fax: 619-482-1217 | |
Ad Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Landis Ave, Ste A&b, Chula Vista, CA 91910 Phone: 619-691-0121 | |
Arthur D.santos Dds A Profesional Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Hale St, Chula Vista, CA 91910 Phone: 619-421-5393 Fax: 619-482-5740 | |
Eastlake Modern Dentistry Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Millenia Ave Ste 102, Chula Vista, CA 91915 Phone: 619-348-5324 |