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General NPI Number Information
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NPI Number | 1386376713
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Entity Type | Organization
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Legal Business Name | HOSS, D.D.S., INC. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 345 F ST STE 250
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City | CHULA VISTA
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State | CA
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Zip | 91910-2649
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Country | US
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Telephone | 619-336-8478
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Fax |
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Provider Business Mailing Address
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Address Line | 9737 AERO DR STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92123-1823
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Country | US
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Telephone | 858-366-8478
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DOCTOR
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Name | DR. KAMI HOSS
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Credential |
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Telephone | 619-548-8772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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