| Corporation | |
|
42544 10th St West Suite A Lancaster CA 93534 | |
| (661) 949-3505 | |
| (661) 940-3050 |
| Full Name | Corporation |
|---|---|
| Speciality | Dentist |
| Location | 42544 10th St West, Lancaster, California |
| Authorized Official Name and Position | George Dracopoulos (PRESIDENT) |
| Authorized Official Contact | 6619493505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corporation 42544 10th St West Suite A Lancaster CA 93534 Ph: (661) 949-3505 | Corporation 42544 10th St West Suite A Lancaster CA 93534 Ph: (661) 949-3505 |
| NPI Number | 1487663977 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487663977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 031910 (California) | Primary |
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