Afamilyfriend Teledentistry

Organization Active NPI Dental Clinic/Center · Encinitas, CA

NPI 1134837420 · NPPES record last updated Nov 7, 2022

Key facts

NPI
1134837420
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
AFAMILYFRIEND TELEDENTISTRY
Practice address
1502 N Willowspring Dr
Encinitas, CA 92024-5634
Phone
(858) 663-1862
NPI assigned
Nov 7, 2022
Organization subpart
No

Authorized official

Name
Gary Pascua
Title
Founder
Phone
(858) 663-1862

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

1502 N Willowspring Dr
Encinitas, CA 92024-5634

Mailing address

1502 N Willowspring Dr
Encinitas, CA 92024-5634
Phone (858) 663-1862

Other providers in Encinitas, CA

All providers in Encinitas, CA · Dental Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.