Dr Jaime Salas Dominguez, DDS | |
1166 K St, Brawley, CA 92227-2737 | |
(760) 344-3583 | |
(760) 344-8480 |
Full Name | Dr Jaime Salas Dominguez |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 1166 K St, Brawley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508837980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 37097 (California) | Primary |
Entity Name | Clinicas De Salud Del Pueblo Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
Mailing Address | Practice Location Address |
---|---|
Dr Jaime Salas Dominguez, DDS 1166 K St, Brawley, CA 92227-2737 Ph: (760) 344-3583 | Dr Jaime Salas Dominguez, DDS 1166 K St, Brawley, CA 92227-2737 Ph: (760) 344-3583 |
Isamel Paul Yturralde, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1166 K St, Brawley, CA 92227 Phone: 760-344-3583 | |
Oshin Safarian, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 283 Main St Ste 102, Brawley, CA 92227 Phone: 760-344-3583 Fax: 760-344-8480 | |
Dr. Ronald C. Stillman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 580 G St, Brawley, CA 92227 Phone: 760-344-1613 Fax: 760-351-2137 | |
Brian Shue, MD Dentist Medicare: Medicare Enrolled Practice Location: 1166 K St, Brawley, CA 92227 Phone: 760-344-9951 | |
Dr. Amadis J. Lugo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 229 Main St Ste 101, Brawley, CA 92227 Phone: 760-344-5846 Fax: 760-344-7906 | |
Thomas L Roderick, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1166 K St, Brawley, CA 92227 Phone: 760-344-3583 Fax: 760-344-8480 |