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Organization

DENTAL CHECK-UP

Active
Other names
Dr Hector Gomez
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HECTOR GOMEZ D.D.S. (DENTIST / OWNER)
(619) 422-0800
Entity
Organization

Contact information

Practice address
1010 BROADWAY STE #5, CHULA VISTA, CA 91911
(619) 422-0800
(619) 422-3060
Mailing address
1010 BROADWAY STE #5, CHULA VISTA, CA 91911
(619) 422-0800
(619) 422-3060

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27523
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B2752302
DENTICAL
CA
Enumeration date
09/13/2012
Last updated
09/13/2012
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