| Pinales Dds Dental Corp | |
|
1217 E 17th St Santa Ana CA 92701-2640 | |
| (714) 550-7172 | |
| (714) 550-7173 |
| Full Name | Pinales Dds Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 1217 E 17th St, Santa Ana, California |
| Authorized Official Name and Position | Santo G Pinales (DENTIST) |
| Authorized Official Contact | 7145507172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinales Dds Dental Corp 1217 E 17th St Santa Ana CA 92701-2640 Ph: (714) 550-7172 | Pinales Dds Dental Corp 1217 E 17th St Santa Ana CA 92701-2640 Ph: (714) 550-7172 |
| NPI Number | 1659895910 |
|---|---|
| Provider Enumeration Date | 07/28/2017 |
| Last Update Date | 06/30/2023 |
| Medicare PECOS PAC ID | 2860827573 |
|---|---|
| Medicare Enrollment ID | O20200127000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659895910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Santo Pinales |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356749840 PECOS PAC ID: 8527491547 Enrollment ID: I20200323003501 |
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