| Valley View Dental Office | |
|
123 Worthington St Ste 101 Spring Valley CA 91977-6100 | |
| (619) 475-8419 | |
| (619) 472-3624 |
| Full Name | Valley View Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 123 Worthington St Ste 101, Spring Valley, California |
| Authorized Official Name and Position | Vicente G. Casibang (OWNER) |
| Authorized Official Contact | 6194758419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley View Dental Office 123 Worthington St Ste 101 Spring Valley CA 91977-6100 Ph: (619) 475-8419 | Valley View Dental Office 123 Worthington St Ste 101 Spring Valley CA 91977-6100 Ph: (619) 475-8419 |
| NPI Number | 1760810485 |
|---|---|
| Provider Enumeration Date | 10/15/2013 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760810485 | NPI | - | NPPES |
| 522496 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49483 (California) | Primary |
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