Organization
SCDP DEL SUR RANCH
Active
Parent organization
SILVER CREEK DENTAL PARTNERS
Other names
Silver Creek Dental Partners
Organization subpart
Yes
Provider details
NPI number
Legal business name
SILVER CREEK DENTAL PARTNERS
Authorized official
BRAD STARKWEATHER (MANAGER)
(650) 922-0897
Entity
Organization
Contact information
Practice address
16460 PASEO DEL SUR STE 105, SAN DIEGO, CA 92127-4165
(858) 759-2700
Mailing address
23911 DANZIG BAY, DANA POINT, CA 92629-4407
(650) 922-0897
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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