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HOSS/KERI KM DENTAL GROUP A PROFESSIONAL CORPORATION NPI 1235655788


NPI Information

NPI: 1235655788
Provider Name: HOSS/KERI KM DENTAL GROUP, A PROFESSIONAL CORPORATION
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
9737 AERO DRIVE STE 210
SAN DIEGO, CA
ZIP 92123
Phone: (619) 636-2665
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HOSS/KERI KM DENTAL GROUP, A PROFESSIONAL CORPORATION is a pediatric dentistry dentist in San Diego, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. HOSS/KERI KM DENTAL GROUP, A PROFESSIONAL CORPORATION NPI is 1235655788. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9737 AERO DRIVE STE 210
SAN DIEGO, CA
ZIP 92123
Phone: (619) 636-2665

The provider's authorized official is Laura Flores .
The authorized official title is Manager and has the following contact phone number (619) 961-9867.

The enumeration date for this NPI number is 8/16/2017 and was last updated on 8/16/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry42542CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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