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KERI KM DENTAL GROUP A PROFESSIONAL GROUP NPI 1932553633


NPI Information

NPI: 1932553633
Provider Name: KERI KM DENTAL GROUP, A PROFESSIONAL GROUP

Doing Business As: THE SUPERDENTISTS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
9737 AERO DR STE 210
SAN DIEGO, CA
ZIP 92123
Phone: (619) 585-8500
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KERI KM DENTAL GROUP, A PROFESSIONAL GROUP is a dental clinic center in San Diego, CA. KERI KM DENTAL GROUP, A PROFESSIONAL GROUP NPI is 1932553633. The provider is registered as an organization entity type.
The provider Is Doing Business As The Superdentists.

The provider's business location address is:

9737 AERO DR STE 210
SAN DIEGO, CA
ZIP 92123-859
Phone: (619) 585-8500
Fax: (619) 362-9923

The provider's authorized official is Laura Elena Flores .
The authorized official title is Manager and has the following contact phone number (619) 869-1149.

The enumeration date for this NPI number is 4/19/2016 and was last updated on 4/19/2016.


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
1261QD0000XClinic/CenterDental42542CALIFORNIAYes

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: 4/28/2024

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