Organization
EVANGELISTA DENTAL GROUP HILLCREST, PC
Active
Other names
Bella Vita Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTING)
(912) 732-1504
Entity
Organization
Contact information
Practice address
3900 5TH AVE STE 270, SAN DIEGO, CA 92103-3137
(619) 810-1864
Mailing address
3900 5TH AVE STE 270, SAN DIEGO, CA 92103-3137
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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