institution
Gary And Mary West Senior Dental Center, Inc.
Dental Clinic/Center in San Diego, California
NPI 1396111530

Gary And Mary West Senior Dental Center, Inc. is a Dental Clinic/Center based in San Diego, CA and is specialized in Dental. Gary And Mary West Senior Dental Center, Inc. practices in San Diego, CA. The NPI Number for Gary And Mary West Senior Dental Center, Inc. is 1396111530 and holds a License No. 55692 (California).

The current practice location address for Gary And Mary West Senior Dental Center, Inc. is 1525 4Th Ave, San Diego, CA and can be reached out via phone at 760-602-5862.

Location: 1525 4Th Ave, San Diego, CA, 92101-3107
institution
Provider Profile Details
NPI Number
1396111530
Provider Name
Gary And Mary West Senior Dental Center, Inc.
Credential
Provider Entity Type
Organization
Address
1525 4Th Ave, San Diego, CA, 92101-3107
Phone Number
760-602-5862
Fax Number
Provider Enumeration Date
08/11/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740451012 01 CA INDIVIDUAL DENTAL PROVIDER NPI
institution
Provider Business Practice Location Address Details
Address
1525 4Th Ave
City
State
Zip
92101-3107
Phone Number
760-602-5862
Fax Number
person
Provider Business Mailing Address Details
Address
1525 4Th Ave
City
State
Zip
92101-3107
Phone Number
760-602-5862
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
55692 (California)
Definition
Definition to come...
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