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Organization
HOSS/KERI CMV DENTAL GROUP, A PROFESSIONAL CORPORATION
Active
Organization
HOSS/KERI CMV DENTAL GROUP, A PROFESSIONAL CORPORATION
Active
Other names
The Super Dentists
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FLORES (MANAGER)
(619) 636-2665
Entity
Organization
Contact information
Practice address
11943 EL CAMINO REAL STE 200, SAN DIEGO, CA 92130-2597
(619) 636-2665
Mailing address
9737 AERO DR, SAN DIEGO, CA 92123-1859
(619) 636-2665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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