Organization
L & S DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO LAMAS DDS (CHAIRMAN)
(619) 955-6901
Entity
Organization
Contact information
Practice address
172 SIERRA WAY, CHULA VISTA, CA 91911-1434
(619) 955-6901
Mailing address
172 SIERRA WAY, CHULA VISTA, CA 91911-1434
(619) 955-6901
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
4090164
CA
305R00000X
Preferred Provider Organization
Primary
4090164
CA
Other
Enumeration date
04/26/2012
Last updated
10/14/2015
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