Organization
CARLOS MONTALVO ENTERPRISES
Active
Other names
SOCAL REGENERATION INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS S MONTALVO (PRESIDENT)
(619) 917-7766
Entity
Organization
Contact information
Practice address
2700 ADAMS AVE STE 209, SAN DIEGO, CA 92116-1367
(619) 917-7766
Mailing address
2700 ADAMS AVE STE 209, SAN DIEGO, CA 92116-1367
(619) 917-7766
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
07/08/2023
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