Individual
CLEMENT S QAQISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
10672 WEXFORD ST, SUITE 270, SAN DIEGO, CA 92131-3969
(858) 263-1800
(858) 263-1801
Mailing address
10672 WEXFORD ST, SUITE 270, SAN DIEGO, CA 92131-3969
(858) 263-1800
(858) 263-1801
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
60279
CA
Other
Enumeration date
05/07/2008
Last updated
10/22/2014
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