| Francisco D Fores DMD | |
|
414 Tennessee St Ste K1 Redlands CA 92373-8152 | |
| (661) 917-0507 | |
| Not Available |
| Full Name | Francisco D Fores DMD |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 414 Tennessee St Ste K1, Redlands, California |
| Authorized Official Name and Position | Jenny Braganza (CREDENTIALING AND BILLING MANAGER) |
| Authorized Official Contact | 5623414786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Francisco D Fores DMD 414 Tennessee St Ste K1 Redlands CA 92373-8152 Ph: (661) 917-0507 | Francisco D Fores DMD 414 Tennessee St Ste K1 Redlands CA 92373-8152 Ph: (661) 917-0507 |
| NPI Number | 1710501846 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710501846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (NU) | Secondary |
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
| 1223P0700X | Dentist - Prosthodontics | (NU) | Secondary |
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