Provider Demographics
NPI:1396200903
Name:HOSS ESC DENTAL GROUP APC
Entity Type:Organization
Organization Name:HOSS ESC DENTAL GROUP APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-737-7700
Mailing Address - Street 1:9737 AERO DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1823
Mailing Address - Country:US
Mailing Address - Phone:619-591-2657
Mailing Address - Fax:619-362-9923
Practice Address - Street 1:390 W VALLEY PKWY STE B
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-2635
Practice Address - Country:US
Practice Address - Phone:760-450-2010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty