| South County Oral And Maxillofacial Surgery Center | |
|
246 F St Chula Vista CA 91910-2818 | |
| (619) 420-3311 | |
| (619) 420-6645 |
| Full Name | South County Oral And Maxillofacial Surgery Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 246 F St, Chula Vista, California |
| Authorized Official Name and Position | Nojan Talebzadeh (OWNER) |
| Authorized Official Contact | 6194203311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Oral And Maxillofacial Surgery Center 246 F St Chula Vista CA 91910-2818 Ph: (619) 420-3311 | South County Oral And Maxillofacial Surgery Center 246 F St Chula Vista CA 91910-2818 Ph: (619) 420-3311 |
| NPI Number | 1518165810 |
|---|---|
| Provider Enumeration Date | 07/07/2007 |
| Last Update Date | 04/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518165810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 42098 (California) | Primary |
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