Organization
JUAN C. BOSQUE, D.D.S., INC.
Active
Other names
South Coast Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS BOSQUE SR. DDS (OWNER/ PRESIDENT)
(858) 999-5968
Entity
Organization
Contact information
Practice address
3760 CONVOY ST, SUITE 330, SAN DIEGO, CA 92111-3742
(858) 999-5968
Mailing address
3760 CONVOY ST, SUITE 330, SAN DIEGO, CA 92111-3742
(858) 999-5968
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
42723
CA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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