| Vasoya Dipakkumar Dds Pc | |
|
301 W 6th St Ste 105 Corona CA 92882-3304 | |
| (951) 258-1407 | |
| Not Available |
| Full Name | Vasoya Dipakkumar Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 301 W 6th St Ste 105, Corona, California |
| Authorized Official Name and Position | Dipakkumar Vasoya (PRESIDENT) |
| Authorized Official Contact | 9512581407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vasoya Dipakkumar Dds Pc 301 W 6th St Ste 105 Corona CA 92882-3304 Ph: (951) 258-1407 | Vasoya Dipakkumar Dds Pc 301 W 6th St Ste 105 Corona CA 92882-3304 Ph: (951) 258-1407 |
| NPI Number | 1013453794 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Medicare PECOS PAC ID | 8628494358 |
|---|---|
| Medicare Enrollment ID | O20200812002181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013453794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 64311 (California) | Primary |
| Provider Name | Dipakkumar Vasoya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497144281 PECOS PAC ID: 9537585260 Enrollment ID: I20200812002274 |
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