Mr Amos Benjamin Acevedo, DDS | |
21890 Colorado Ave., San Joaquin, CA 93660 | |
(559) 693-2467 | |
(559) 693-2398 |
Full Name | Mr Amos Benjamin Acevedo |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 21890 Colorado Ave., San Joaquin, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609904374 | NPI | - | NPPES |
FHC03875F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 27943 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Amos Benjamin Acevedo, DDS 774 Cuesta St, Morro Bay, CA 93442-1783 Ph: (805) 704-3591 | Mr Amos Benjamin Acevedo, DDS 21890 Colorado Ave., San Joaquin, CA 93660 Ph: (559) 693-2467 |
Mrs. Loan Hong Le, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21890 Colorado Ave., San Joaquin, CA 93660 Phone: 559-693-2467 Fax: 559-693-2398 | |
Sina Mofidi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 21890 W Colorado Ave, San Joaquin, CA 93660 Phone: 601-405-7041 |