| Cervantes And Prado Dental Care, Inc | |
|
1620 Valle Vista Ave Ste 150 Vallejo CA 94589-2886 | |
| (707) 557-5822 | |
| Not Available |
| Full Name | Cervantes And Prado Dental Care, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1620 Valle Vista Ave Ste 150, Vallejo, California |
| Authorized Official Name and Position | Veronica A Prado (CFO, CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7075575822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cervantes And Prado Dental Care, Inc Po Box 9067 Vallejo CA 94591-9067 Ph: () - | Cervantes And Prado Dental Care, Inc 1620 Valle Vista Ave Ste 150 Vallejo CA 94589-2886 Ph: (707) 557-5822 |
| NPI Number | 1881916443 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 02/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881916443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54300 (California) | Primary |
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