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Organization
VISTA COMMUNITY CLINIC
Active
Organization
VISTA COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NAVARRO (DENTAL HYGIENIST)
(760) 445-7043
Entity
Organization
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28096
CA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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