| Gertrude M. Pecaoco Dental Corp. | |
|
1925 W Temple St Suite 214 Los Angeles CA 90026-4970 | |
| (213) 413-3910 | |
| (213) 413-4078 |
| Full Name | Gertrude M. Pecaoco Dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 1925 W Temple St, Los Angeles, California |
| Authorized Official Name and Position | Ricardo Espanola Pecaoco (OFFICE MANAGER) |
| Authorized Official Contact | 2134133910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gertrude M. Pecaoco Dental Corp. 1925 W Temple St Suite 214 Los Angeles CA 90026-4970 Ph: (213) 413-3910 | Gertrude M. Pecaoco Dental Corp. 1925 W Temple St Suite 214 Los Angeles CA 90026-4970 Ph: (213) 413-3910 |
| NPI Number | 1447441597 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 10/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447441597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49425 (California) | Primary |
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