Organization
RACIC DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVANA RACIC (DDS)
(843) 489-6692
Entity
Organization
Contact information
Practice address
230 W G ST STE H, SAN DIEGO, CA 92101-6026
(619) 234-7222
Mailing address
230 W G ST STE H, SAN DIEGO, CA 92101-6026
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/30/2021
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