Organization
ANTIOQUIA DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN SALVADOR ANTIOQUIA D.D.S. (PRESIDENT)
(619) 477-0045
Entity
Organization
Contact information
Practice address
1727 SWEETWATER ROAD, SUITE Q, NATIONAL CITY, CA 91950
(619) 477-0045
(619) 477-5822
Mailing address
1727 SWEETWATER ROAD, SUITE Q, NATIONAL CITY, CA 91950
(619) 477-0045
(619) 477-5822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25111
CA
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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