| Pacifi Dental Clinic | |
|
1217 E 17th St Santa Ana CA 92701-2640 | |
| (714) 550-7172 | |
| (714) 550-7173 |
| Full Name | Pacifi Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1217 E 17th St, Santa Ana, California |
| Authorized Official Name and Position | Jorge Luis Geronimo (DENTIST) |
| Authorized Official Contact | 7145507172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacifi Dental Clinic 1217 E 17th St Santa Ana CA 92701-2640 Ph: (714) 550-7172 | Pacifi Dental Clinic 1217 E 17th St Santa Ana CA 92701-2640 Ph: (714) 550-7172 |
| NPI Number | 1962791459 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962791459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47897 (California) | Primary |
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