| |
559 E Alisal St Ste 101 Salinas CA 93905-2516 | |
(831) 757-1111 | |
(831) 757-1130 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 559 E Alisal St Ste 101, Salinas, California |
Authorized Official Name and Position | Juan C Valencia (OWNER) |
Authorized Official Contact | 8317571111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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559 E Alisal St Ste 101 Salinas CA 93905-2516 Ph: (831) 757-1111 | 559 E Alisal St Ste 101 Salinas CA 93905-2516 Ph: (831) 757-1111 |
NPI Number | 1396084174 |
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Provider Enumeration Date | 02/13/2013 |
Last Update Date | 02/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396084174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 55985 (California) | Primary |
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