Victoria Prasol, Dds, Inc. | |
26893 Bouquet Canyon Rd Ste G Santa Clarita CA 91350-2374 | |
(661) 297-7580 | |
(661) 297-5298 |
Full Name | Victoria Prasol, Dds, Inc. |
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Speciality | Dentist - General Practice |
Location | 26893 Bouquet Canyon Rd Ste G, Santa Clarita, California |
Authorized Official Name and Position | Victoria Y Prasol (DOCTOR) |
Authorized Official Contact | 6612977580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Victoria Prasol, Dds, Inc. 26893 Bouquet Canyon Rd Ste G Santa Clarita CA 91350-2374 Ph: (661) 297-7580 | Victoria Prasol, Dds, Inc. 26893 Bouquet Canyon Rd Ste G Santa Clarita CA 91350-2374 Ph: (661) 297-7580 |
NPI Number | 1407906886 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407906886 | NPI | - | NPPES |
G93575-01 | Other | CA | DENTI-CAL PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 49641 (California) | Primary |
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