| Travers Dental Group Incorporated | |
|
828 Jackman St El Cajon CA 92020-3053 | |
| (312) 342-2299 | |
| Not Available |
| Full Name | Travers Dental Group Incorporated |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 828 Jackman St, El Cajon, California |
| Authorized Official Name and Position | Grace Travers (OWNER DENTIST) |
| Authorized Official Contact | 3123422299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travers Dental Group Incorporated 828 Jackman St El Cajon CA 92020-3053 Ph: (312) 342-2299 | Travers Dental Group Incorporated 828 Jackman St El Cajon CA 92020-3053 Ph: (312) 342-2299 |
| NPI Number | 1457026015 |
|---|---|
| Provider Enumeration Date | 08/14/2021 |
| Last Update Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457026015 | NPI | - | NPPES |
| 61514 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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