| Procare Dental Group, Joey S. Tirador D.d.s. Inc. | |
|
12602 Amargosa Rd Suite 'd' Victorville CA 92392-7640 | |
| (760) 951-9997 | |
| (760) 962-9424 |
| Full Name | Procare Dental Group, Joey S. Tirador D.d.s. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12602 Amargosa Rd, Victorville, 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, Joey S. Tirador D.d.s. Inc. 12602 Amargosa Rd Suite 'd' Victorville CA 92392-7640 Ph: (760) 951-9997 | Procare Dental Group, Joey S. Tirador D.d.s. Inc. 12602 Amargosa Rd Suite 'd' Victorville CA 92392-7640 Ph: (760) 951-9997 |
| NPI Number | 1023253127 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023253127 | NPI | - | NPPES |
| G-94083-02 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CA 50993 (California) | Primary |
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