| South Coast Endodontics | |
|
3760 Convoy St Suite 330 San Diego CA 92111-3742 | |
| (858) 999-5968 | |
| Not Available |
| Full Name | South Coast Endodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3760 Convoy St, San Diego, California |
| Authorized Official Name and Position | Juan Carlos Bosque (OWNER/ PRESIDENT) |
| Authorized Official Contact | 8589995968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Endodontics 3760 Convoy St Suite 330 San Diego CA 92111-3742 Ph: (858) 999-5968 | South Coast Endodontics 3760 Convoy St Suite 330 San Diego CA 92111-3742 Ph: (858) 999-5968 |
| NPI Number | 1427329952 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427329952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 42723 (California) | Primary |
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