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General NPI Number Information
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NPI Number | 1396200903
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Entity Type | Organization
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Legal Business Name | HOSS ESC DENTAL GROUP APC
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 390 W VALLEY PKWY STE B
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City | ESCONDIDO
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State | CA
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Zip | 92025-2635
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Country | US
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Telephone | 760-450-2010
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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 | 619-591-2657
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Fax | 619-362-9923
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAMI HOSS
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Credential | DDS
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Telephone | 619-737-7700
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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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