| Ruby Dacio Dds Andlutgarda Perez Dds Dental Corp | |
|
410 James St Shafter CA 93263-2035 | |
| (661) 746-4067 | |
| Not Available |
| Full Name | Ruby Dacio Dds Andlutgarda Perez Dds Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 James St, Shafter, California |
| Authorized Official Name and Position | Ruby E Dacio (CFO) |
| Authorized Official Contact | 6617464067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Dacio Dds Andlutgarda Perez Dds Dental Corp 410 James St Shafter CA 93263-2035 Ph: (661) 746-4067 | Ruby Dacio Dds Andlutgarda Perez Dds Dental Corp 410 James St Shafter CA 93263-2035 Ph: (661) 746-4067 |
| NPI Number | 1871761072 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871761072 | NPI | - | NPPES |
| B44243-01 | Other | CA | HEALTHY FAMILY |
| G91807-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43526 (California) | Primary |
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