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Organization
HOSS KERI EL DENTAL GROUP A
Active
Organization
HOSS KERI EL DENTAL GROUP A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FLORES (OFFICE MANAGER)
(619) 961-9867
Entity
Organization
Contact information
Practice address
2226 OTAY LAKES RD, CHULA VISTA, CA 91915-1010
(619) 216-7336
Mailing address
9737 AERO DR, SAN DIEGO, CA 92123-1859
(619) 636-2665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42542
CA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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