| Palacios Dental Corp | |
|
695 W Highland Ave San Bernardino CA 92405-3812 | |
| (909) 881-5007 | |
| (909) 881-5000 |
| Full Name | Palacios Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 695 W Highland Ave, San Bernardino, California |
| Authorized Official Name and Position | Ana Ysabel Palacios (DENTIST) |
| Authorized Official Contact | 9098815007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palacios Dental Corp 695 W Highland Ave San Bernardino CA 92405-3812 Ph: (909) 881-5007 | Palacios Dental Corp 695 W Highland Ave San Bernardino CA 92405-3812 Ph: (909) 881-5007 |
| NPI Number | 1558629261 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558629261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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