| J Sinairad Professional Dental Corporation | |
|
929 N Orange Grove Blvd Pasadena CA 91103-3354 | |
| (626) 449-3700 | |
| Not Available |
| Full Name | J Sinairad Professional Dental Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 929 N Orange Grove Blvd, Pasadena, California |
| Authorized Official Name and Position | Joseph Sinairad (OWNER) |
| Authorized Official Contact | 8187807555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Sinairad Professional Dental Corporation 929 N Orange Grove Blvd Pasadena CA 91103-3354 Ph: (626) 449-3700 | J Sinairad Professional Dental Corporation 929 N Orange Grove Blvd Pasadena CA 91103-3354 Ph: (626) 449-3700 |
| NPI Number | 1942450333 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 08/26/2022 |
| Medicare PECOS PAC ID | 2163808957 |
|---|---|
| Medicare Enrollment ID | O20220930003084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942450333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40309 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Joseph Sinairad |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538188149 PECOS PAC ID: 1355726118 Enrollment ID: I20220914001523 |
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