Organization
HOSS/KERI KM DENTAL GROUP, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FLORES (MANAGER)
(619) 961-9867
Entity
Organization
Contact information
Practice address
9737 AERO DRIVE STE 210, SAN DIEGO, CA 92123
(619) 636-2665
Mailing address
9737 AERO DR STE 210, SAN DIEGO, CA 92123-1854
(619) 636-2665
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42542
CA
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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