Organization
HOSS MV DENTAL GROUP, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMI HOSS DDS (OWNER)
(619) 336-8478
Entity
Organization
Contact information
Practice address
27140 EUCALYPTUS AVE STE B2, MORENO VALLEY, CA 92555-4545
(858) 336-8478
Mailing address
9737 AERO DR STE 100, SAN DIEGO, CA 92123-1823
(858) 336-8478
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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