4030 Dental Inc.

NPI 1275833956 - Dentist - 122300000X

NPI Details
NPI 1275833956
Enumeration Date 10/27/2010
Last Updated 10/27/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RAWAA RAWAA
Position PRESIDENT
Phone (630) 567-6373
Fax
Practice Location
6175 EL CAJON BLVD
SAN DIEGO CA, 92115-3915, US
Phone (630) 567-6373
Fax
Business Location
6175 EL CAJON BLVD
SAN DIEGO CA, 92115-3915, US
Phone (619) 583-4030
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, 4030 Dental Inc. NPI is 1275833956, taxonomy code is 122300000X 4030 Dental Inc. physically located at 6175 El Cajon Blvd, San Diego CA, 92115-3915. NPI Number 1033115704 has the healthcare provider type.

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1275833956 NPI number is provided on an as is basis without warranty of any kind. 1275833956 is maintained by the National Plan & Provider Enumeration System. The contents of 4030 Dental Inc. are for informational purposes only.