Soquel Dental Office | |
2515 Porter St Soquel CA 95073-2463 | |
(831) 462-8555 | |
(831) 476-3133 |
Full Name | Soquel Dental Office |
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Speciality | Dentist - General Practice |
Location | 2515 Porter St, Soquel, California |
Authorized Official Name and Position | Bonnie Segura (OFFICE ADMIN.) |
Authorized Official Contact | 8314628555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Soquel Dental Office 2515 Porter St Soquel CA 95073-2463 Ph: (831) 462-8555 | Soquel Dental Office 2515 Porter St Soquel CA 95073-2463 Ph: (831) 462-8555 |
NPI Number | 1811168628 |
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Provider Enumeration Date | 03/19/2008 |
Last Update Date | 01/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811168628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 62533 (California) | Primary |