Lucelly Campos is a Dentist in San Ysidro, California. Lucelly Campos practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lucelly Campos is 1811090384. The last update date is 2007-07-08.
Lucelly Campos's current location address is 4004 Beyer Blvd, San Ysidro, California. You can contact this provider via phone number 6194284463 and fax number 6194282625. The mailing address for Lucelly Campos is 4004 Beyer Blvd, San Ysidro, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lucelly Campos |
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Address | 4004 Beyer Blvd, San Ysidro, California |
Phone Number | 6194284463 |
Fax Number | 6194282625 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1811090384 |
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Provider Enumeration Date | 2006-09-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4004 Beyer Blvd |
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City | San Ysidro |
State | California (CA) |
Post Code | 921732007 |
Phone Number | 6194284463 |
Fax Number | 6194282625 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 46758 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Lucelly Campos's unique identification number?
The Lucelly Campos has been assigned the NPI (National Provider Identifier) Number 1811090384 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Lucelly Campos's facilities are geographically located?
The facilities of Lucelly Campos are physically situated at the following location: 4004 Beyer Blvd, San Ysidro, CA, 921732007.
What is Lucelly Campos's area of expertise and its corresponding taxonomy classification?
The Lucelly Campos's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1811090384 to Lucelly Campos?
The Lucelly Campos received its 1811090384 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date were the details related to Lucelly Campos most recently updated or revised?
The information pertaining to Lucelly Campos, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.