Organization
THE FLOSS'N XPERTS
Active
Other names
The Foss'N Xperts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH BORQUEZ DDS (CLINIC DIRECTOR)
(619) 647-4459
Entity
Organization
Contact information
Practice address
2700 ADAMS AVE STE 209, SAN DIEGO, CA 92116-1367
(619) 647-4459
Mailing address
2700 ADAMS AVE STE 209, SAN DIEGO, CA 92116-1367
(619) 647-4459
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770649337
—
CA
Enumeration date
08/17/2021
Last updated
08/17/2021
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