Nicolo Addario, DDS

Individual provider Active NPI General Practice Dentistry · Chula Vista, CA

NPI 1841347366 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1841347366
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
CA44644 (CA)
Practice address
1351 Medical Center Dr
Suite B
Chula Vista, CA 91911-6977
Phone
(619) 656-1788
Fax
(619) 656-1786
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CA44644CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CA44644 CA Yes

Addresses

Primary practice location

1351 Medical Center Dr
Suite B
Chula Vista, CA 91911-6977

Mailing address

1351 Medical Center Dr
Suite B
Chula Vista, CA 91911-6977
Phone (619) 656-1788

Other providers in Chula Vista, CA

All providers in Chula Vista, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.