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Organization
EVANGELISTA DENTAL GROUP HILLCREST, PC
Active
Organization
EVANGELISTA DENTAL GROUP HILLCREST, PC
Active
Other names
Bella Vita Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTING)
(912) 732-1504
Entity
Organization
Contact information
Practice address
3900 5TH AVE STE 270, SAN DIEGO, CA 92103-3137
(619) 810-1864
Mailing address
3900 5TH AVE STE 270, SAN DIEGO, CA 92103-3137
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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