Provider Demographics
NPI:1386376713
Name:HOSS, D.D.S., INC. A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:HOSS, D.D.S., INC. A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-548-8772
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:858-366-8478
Mailing Address - Fax:
Practice Address - Street 1:345 F ST STE 250
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2649
Practice Address - Country:US
Practice Address - Phone:619-336-8478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty