| Dental Studio Of Pasadena | |
|
2270 E Colorado Blvd Pasadena CA 91107-3656 | |
| (626) 431-2930 | |
| (626) 431-2932 |
| Full Name | Dental Studio Of Pasadena |
|---|---|
| Speciality | Dentist |
| Location | 2270 E Colorado Blvd, Pasadena, California |
| Authorized Official Name and Position | Jaime Arturo Tobon (DENTIST) |
| Authorized Official Contact | 6264312930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Studio Of Pasadena 2270 E Colorado Blvd Pasadena CA 91107-3656 Ph: (626) 431-2930 | Dental Studio Of Pasadena 2270 E Colorado Blvd Pasadena CA 91107-3656 Ph: (626) 431-2930 |
| NPI Number | 1205231222 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205231222 | NPI | - | NPPES |
| 63324 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 63324 (California) | Primary |
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