Elvis Baquero Dds, Inc. | |
100826 Nipton Rd Nipton CA 92364 | |
(760) 856-1056 | |
(760) 856-1050 |
Full Name | Elvis Baquero Dds, Inc. |
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Speciality | Dentist - General Practice |
Location | 100826 Nipton Rd, Nipton, California |
Authorized Official Name and Position | Elvis Baquero (PRESIDENT) |
Authorized Official Contact | 7608561056 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elvis Baquero Dds, Inc. Hc 1 Box 300 Nipton CA 92364-9735 Ph: (760) 856-1056 | Elvis Baquero Dds, Inc. 100826 Nipton Rd Nipton CA 92364 Ph: (760) 856-1056 |
NPI Number | 1306181037 |
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Provider Enumeration Date | 12/06/2012 |
Last Update Date | 12/06/2012 |
Identifier | Type | State | Issuer |
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1306181037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 49059 (California) | Primary |