Procare Dental Group, Victorville Branch | |
1232 E Main St Barstow CA 92311-2409 | |
(760) 256-1189 | |
(760) 256-1427 |
Full Name | Procare Dental Group, Victorville Branch |
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Speciality | Dentist - General Practice |
Location | 1232 E Main St, Barstow, California |
Authorized Official Name and Position | Joey Soriano Tirador (PRESIDENT/CEO) |
Authorized Official Contact | 7602561189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Procare Dental Group, Victorville Branch 1232 E Main St Barstow CA 92311-2409 Ph: (760) 256-1189 | Procare Dental Group, Victorville Branch 1232 E Main St Barstow CA 92311-2409 Ph: (760) 256-1189 |
NPI Number | 1538343470 |
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Provider Enumeration Date | 12/27/2007 |
Last Update Date | 08/18/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538343470 | NPI | - | NPPES |
1356565923 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 50993 (California) | Primary |
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