| Tinou T. Roncone, Dds, Ms, Apc | |
|
31493 Rancho Pueblo Rd. Ste. 101 Temecula CA 92592 | |
| (951) 302-6385 | |
| Not Available |
| Full Name | Tinou T. Roncone, Dds, Ms, Apc |
|---|---|
| Speciality | Dentist |
| Location | 31493 Rancho Pueblo Rd., Temecula, California |
| Authorized Official Name and Position | Tinou Roncone (OWNER) |
| Authorized Official Contact | 9513026385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tinou T. Roncone, Dds, Ms, Apc 31493 Rancho Pueblo Rd. Ste. 101 Temecula CA 92592 Ph: (951) 302-6385 | Tinou T. Roncone, Dds, Ms, Apc 31493 Rancho Pueblo Rd. Ste. 101 Temecula CA 92592 Ph: (951) 302-6385 |
| NPI Number | 1912544370 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Medicare PECOS PAC ID | 5496182115 |
|---|---|
| Medicare Enrollment ID | O20200219000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912544370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| Provider Name | Tinou T Roncone |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689600942 PECOS PAC ID: 8224345863 Enrollment ID: I20200219000623 |
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