| Escalon Family Dental | |
|
1220 La Mesa St Escalon CA 95320-1688 | |
| (209) 838-7191 | |
| Not Available |
| Full Name | Escalon Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1220 La Mesa St, Escalon, California |
| Authorized Official Name and Position | Brady S Marshall (DENTIST / OWNER) |
| Authorized Official Contact | 2092814109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Escalon Family Dental 1220 La Mesa St Escalon CA 95320-1688 Ph: (209) 838-7191 | Escalon Family Dental 1220 La Mesa St Escalon CA 95320-1688 Ph: (209) 838-7191 |
| NPI Number | 1932794401 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932794401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Padilla Pediatric Dental Practice, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Mchenry Ave Ste 302, Escalon, CA 95320 Phone: 209-765-3191 |