Organization
JAVIDAN DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHEA MENDOZA (DENTAL ASSISTANT/OFFICE MANAGER)
(858) 271-0600
Entity
Organization
Contact information
Practice address
9420 MIRA MESA BLVD STE G, SAN DIEGO, CA 92126-4848
(858) 271-0600
(858) 271-0809
Mailing address
9420 MIRA MESA BLVD G, SAN DIEGO, CA 92126
(858) 271-0600
(858) 271-0809
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
38303
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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