# DENTAL CHECK-UP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Hector Gomez
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588914956
- **Authorized official:** DR. HECTOR GOMEZ D.D.S. (DENTIST / OWNER)
- **Authorized official phone:** (619) 422-0800

## Contact information

- **Practice address:** 1010 BROADWAY STE \#5, CHULA VISTA, CA 91911
- **Practice address phone:** (619) 422-0800
- **Practice address fax:** (619) 422-3060
- **Mailing address:** 1010 BROADWAY STE \#5, CHULA VISTA, CA 91911
- **Mailing address phone:** (619) 422-0800
- **Mailing address fax:** (619) 422-3060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 27523 | CA | Yes |

## Other

- **Enumeration date:** 09/13/2012
- **Last updated:** 09/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B2752302 | DENTICAL | CA |