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345 F St Ste 260 Chula Vista CA 91910-2649 | |
| (619) 585-8500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 345 F St Ste 260, Chula Vista, California |
| Authorized Official Name and Position | Nicole Potts (MANAGER) |
| Authorized Official Contact | 6192167336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2226 Otay Lakes Rd Ste A Chula Vista CA 91915-1010 Ph: (619) 216-7336 | 345 F St Ste 260 Chula Vista CA 91910-2649 Ph: (619) 585-8500 |
| NPI Number | 1962800490 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 12/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962800490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (California) | Primary |
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