| Pacia Dental Corporation | |
|
16905 San Fernando Mission Blvd Granada Hills CA 91344-4250 | |
| (818) 368-4661 | |
| (818) 368-1344 |
| Full Name | Pacia Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16905 San Fernando Mission Blvd, Granada Hills, California |
| Authorized Official Name and Position | Emmanuel Naguit Pacia (OWNER) |
| Authorized Official Contact | 8183684661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacia Dental Corporation 16905 San Fernando Mission Blvd Granada Hills CA 91344-4250 Ph: (818) 368-4661 | Pacia Dental Corporation 16905 San Fernando Mission Blvd Granada Hills CA 91344-4250 Ph: (818) 368-4661 |
| NPI Number | 1821115981 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821115981 | NPI | - | NPPES |
| G92240-01 | Other | CA | MEDICAL/DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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