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05D0707285 CLIA NUMBER - VISTA COMMUNITY CLINIC

Laboratory Demographics

CLIA Number: 05D0707285

Facility Name: VISTA COMMUNITY CLINIC

Facility Address:
134 GRAPEVINE ROAD
VISTA, CA
ZIP 92083
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Facility Phone Number: 760 631-5000

Facility Type: Community Clinic

Certificate Type: Microscopy
NPI Number: 1578198503

Taxonomy: 122300000X - Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

CLIA Record

Field Name Field Value
CLIA Number 05D0707285
LAB Type Community Clinic
Facility Name VISTA COMMUNITY CLINIC
Street 134 GRAPEVINE ROAD
City VISTA
State CA
ZIP 92083
Phone 760 631-5000
CertificateType 3
CertificateEffectiveDate 3/28/2023
CertificateExpirationDate 3/27/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024