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Organization
REVIVE ORTHOPAEDIC INSTITUTE, INC
Active
Organization
REVIVE ORTHOPAEDIC INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN BENTLEY MD (PARTIAL OWNER)
(760) 295-2995
Entity
Organization
Contact information
Practice address
6010 HIDDEN VALLEY RD, STE 210, CARLSBAD, CA 92011-4213
(760) 295-2995
(760) 295-2906
Mailing address
270 N EL CAMINO REAL STE F, STE 219, ENCINITAS, CA 92024-2874
(760) 295-2995
(760) 295-2906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A68137
CA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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