Provider Demographics
NPI:1871013532
Name:LOW DENTAL, A.P.C.
Entity Type:Organization
Organization Name:LOW DENTAL, A.P.C.
Other - Org Name:LA MESA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-464-1211
Mailing Address - Street 1:7872 LA MESA BLVD
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-0633
Mailing Address - Country:US
Mailing Address - Phone:619-464-1211
Mailing Address - Fax:
Practice Address - Street 1:7872 LA MESA BLVD.
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942
Practice Address - Country:US
Practice Address - Phone:619-464-1211
Practice Address - Fax:619-464-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32350251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare