Organization
CITRACADO DENTAL GROUP
Active
Other names
Jungman & Kangas DDS Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JUNGMAN DDS (PARTNER DENTIST)
(760) 489-5545
Entity
Organization
Contact information
Practice address
500 W EL NORTE PKWY, ESCONDIDO, CA 92026-3983
(760) 489-5545
(760) 489-5546
Mailing address
500 W EL NORTE PKWY, ESCONDIDO, CA 92026-3983
(760) 489-5545
(760) 489-5546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194124867
NPPES
—
01
—
1265653828
NPPES
CA
01
—
1356562821
NPPES
—
01
—
1558582247
NPPES
—
01
—
1841330198
NPPES
—
01
—
1902156367
NPPES
CA
Enumeration date
05/06/2019
Last updated
06/20/2019
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