| Pacific Dental Clinic | |
|
25025 Red Maple Ln Moreno Valley CA 92551-1137 | |
| (951) 924-6370 | |
| (951) 924-6374 |
| Full Name | Pacific Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25025 Red Maple Ln, Moreno Valley, California |
| Authorized Official Name and Position | Jorge L Geronimo (DENTIST) |
| Authorized Official Contact | 9519246370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Dental Clinic 25025 Red Maple Ln Moreno Valley CA 92551 Ph: (951) 924-6370 | Pacific Dental Clinic 25025 Red Maple Ln Moreno Valley CA 92551-1137 Ph: (951) 924-6370 |
| NPI Number | 1326381450 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326381450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47897 (California) | Primary |
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