| Tierra Town Dental | |
|
10645 Tierrasanta Blvd Suite B San Diego CA 92124-2614 | |
| (858) 277-6080 | |
| (858) 277-4773 |
| Full Name | Tierra Town Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10645 Tierrasanta Blvd, San Diego, 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 |
|---|---|
| Tierra Town Dental 10645 Tierrasanta Blvd Suite B San Diego CA 92124-2614 Ph: (858) 277-6080 | Tierra Town Dental 10645 Tierrasanta Blvd Suite B San Diego CA 92124-2614 Ph: (858) 277-6080 |
| NPI Number | 1386747913 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386747913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31040 (California) | Primary |
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