Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1124020045
Oral and Maxillofacial Surgery (Dentist)
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
13453, Calais Drive, Del Mar Heights, San Diego, San Diego County, California, 92014, United States
DEL MAR, CA 920143523
Phone: (858) 720-1549
Type: Mailing
6593, Riverdale Street, Grantville, San Diego, San Diego County, California, 92120, United States
SAN DIEGO, CA 921202327
Phone: (619) 282-7696
Fax: (619) 282-1812
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92014)
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