Community Dental Services
Dentist in Camp Pendleton, CA. Organization (NPI-2).
NPI number1053484584
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1053484584
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Dental Services
- Organization subpart
- No
- Enumeration date
- Nov 15, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Smilecare Dental Group (Doing Business As)
Practice location
Pacific Plaza Bldg 20845Suite 109
Camp Pendleton, CA 92055-5020
Phone 760-430-4445 · Fax 760-430-4452
Mailing address
2 Macarthur PlSuite 700
Santa Ana, CA 92707-5924
Phone 714-708-5308 · Fax 714-708-5399
Authorized official
Elaine Salcido
Contract Supervisor
7147085308
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All 40 Dentist providers in Camp Pendleton · All 739 providers in Camp Pendleton
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