Whitecrest - Smart Dentistry | |
1163 W Grand Ave Grover Beach CA 93433-2149 | |
(805) 904-6979 | |
(805) 904-6979 |
Full Name | Whitecrest - Smart Dentistry |
---|---|
Speciality | Clinic/center - Dental |
Location | 1163 W Grand Ave, Grover Beach, California |
Authorized Official Name and Position | Raul Dario Perez (DENTIST) |
Authorized Official Contact | 8059046979 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Whitecrest - Smart Dentistry 1163 W Grand Ave Grover Beach CA 93433-2149 Ph: (805) 904-6979 | Whitecrest - Smart Dentistry 1163 W Grand Ave Grover Beach CA 93433-2149 Ph: (805) 904-6979 |
NPI Number | 1760903678 |
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Provider Enumeration Date | 06/30/2017 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760903678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 61046 (California) | Primary |
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