| Sia-zol, Inc. | |
|
9330 Mira Mesa Blvd Ste F San Diego CA 92126-4822 | |
| (858) 536-7005 | |
| (858) 536-7006 |
| Full Name | Sia-zol, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9330 Mira Mesa Blvd Ste F, San Diego, California |
| Authorized Official Name and Position | Lea Maria Sia-zolina (DENTIST) |
| Authorized Official Contact | 8585367005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sia-zol, Inc. 9330 Mira Mesa Blvd Ste F San Diego CA 92126-4822 Ph: (858) 536-7005 | Sia-zol, Inc. 9330 Mira Mesa Blvd Ste F San Diego CA 92126-4822 Ph: (858) 536-7005 |
| NPI Number | 1003996869 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003996869 | NPI | - | NPPES |
| 666874 | Other | PROVIDER NO. UNITED CONCO | |
| 44085 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44085 (California) | Primary |
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