L & S Dental Corp.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

4090164 Issued in CA

Legal business name

L & S DENTAL CORP.

Practice address

172 Sierra Way
Chula Vista, CA 91911-1434

Phone

(619) 955-6901

NPI assigned

Apr 26, 2012

Last updated

Oct 14, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mario Lamas, DDS

Title

Chairman

Phone

(619) 955-6901

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1801154976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SIERRA WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111434",
            "telephone_number": "619-955-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 SIERRA WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111434",
            "telephone_number": "619-955-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & S DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "LAMAS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "619-955-6901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "4090164",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "4090164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.