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Organization
JUAN C. BOSQUE, D.D.S., INC.
Active
Organization
JUAN C. BOSQUE, D.D.S., INC.
Active
Other names
South Coast Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS BOSQUE SR. DDS (OWNER/ PRESIDENT)
(858) 999-5968
Entity
Organization
Contact information
Practice address
3760 CONVOY ST, SUITE 330, SAN DIEGO, CA 92111-3742
(858) 999-5968
Mailing address
3760 CONVOY ST, SUITE 330, SAN DIEGO, CA 92111-3742
(858) 999-5968
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
42723
CA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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