| Editha M. Aquino D.m.d. Professional Dental Corporation | |
|
2600 Springs Rd Vallejo CA 94591-5713 | |
| (707) 642-3711 | |
| (707) 556-9237 |
| Full Name | Editha M. Aquino D.m.d. Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2600 Springs Rd, Vallejo, California |
| Authorized Official Name and Position | Editha Mendoza Aquino (DIRECTOR) |
| Authorized Official Contact | 7076423711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Editha M. Aquino D.m.d. Professional Dental Corporation 2600 Springs Rd Vallejo CA 94591-5713 Ph: (707) 642-3711 | Editha M. Aquino D.m.d. Professional Dental Corporation 2600 Springs Rd Vallejo CA 94591-5713 Ph: (707) 642-3711 |
| NPI Number | 1265799753 |
|---|---|
| Provider Enumeration Date | 04/20/2012 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265799753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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