| Pacific Smile Dental Clinic | |
|
25025 Red Maple Ln Ste 105 Moreno Valley CA 92551-1137 | |
| (951) 924-6370 | |
| (951) 924-6374 |
| Full Name | Pacific Smile Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 25025 Red Maple Ln Ste 105, Moreno Valley, California |
| Authorized Official Name and Position | Maritza Mondragon (FRONT OFFICE) |
| Authorized Official Contact | 9519246370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Smile Dental Clinic 25025 Red Maple Ln Ste 105 Moreno Valley CA 92551-1137 Ph: (951) 924-6370 | Pacific Smile Dental Clinic 25025 Red Maple Ln Ste 105 Moreno Valley CA 92551-1137 Ph: (951) 924-6370 |
| NPI Number | 1073987707 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073987707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47031 (California) | Primary |
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