# DENTAL ADMINISTRATVE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194855767
- **Authorized official:** ERNESTO FERNANDO OCHOA (PRESIDENT)
- **Authorized official phone:** (619) 205-4604

## Contact information

- **Practice address:** 4492 CAMINO DE LA PLZ, \#1166, SAN YSIDRO, CA 92173-3003
- **Practice address phone:** (619) 205-4604
- **Mailing address:** 4492 CAMINO DE LA PLZ, \#1166, SAN YSIDRO, CA 92173-3003
- **Mailing address phone:** (619) 205-4604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020