| Procare Dental Group | |
|
1232 E Main St Barstow CA 92311-2409 | |
| (760) 256-1189 | |
| (760) 256-1427 |
| Full Name | Procare Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1232 E Main St, Barstow, California |
| Authorized Official Name and Position | Joey Soriano Tirador (PRESIDENT AND CEO) |
| Authorized Official Contact | 7602561189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Procare Dental Group 1232 E Main St Barstow CA 92311-2409 Ph: (760) 256-1189 | Procare Dental Group 1232 E Main St Barstow CA 92311-2409 Ph: (760) 256-1189 |
| NPI Number | 1801034418 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801034418 | NPI | - | NPPES |
| G94083-02 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50993 (California) | Primary |
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