Martha Patricia Parroquin Professional Dental Corporation | |
3709 Baldwin Park Blvd Ste J Baldwin Park CA 91706-4178 | |
(626) 960-9966 | |
(626) 962-9136 |
Full Name | Martha Patricia Parroquin Professional Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 3709 Baldwin Park Blvd Ste J, Baldwin Park, California |
Authorized Official Name and Position | Martha Patricia Parroquin (DIRECTOR) |
Authorized Official Contact | 6269609966 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Martha Patricia Parroquin Professional Dental Corporation 3709 Baldwin Park Blvd Ste J Baldwin Park CA 91706-4178 Ph: (626) 960-9966 | Martha Patricia Parroquin Professional Dental Corporation 3709 Baldwin Park Blvd Ste J Baldwin Park CA 91706-4178 Ph: (626) 960-9966 |
NPI Number | 1417220732 |
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Provider Enumeration Date | 02/16/2012 |
Last Update Date | 02/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417220732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 56576 (California) | Primary |
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