| Pacific Holistic Dental, Inc. | |
|
530 W Tefft St Nipomo CA 93444-8946 | |
| (805) 929-6814 | |
| (805) 929-2047 |
| Full Name | Pacific Holistic Dental, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 530 W Tefft St, Nipomo, California |
| Authorized Official Name and Position | Edward Shapiro (OWNER/ OPERATOR) |
| Authorized Official Contact | 8059296814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Holistic Dental, Inc. 530 W Tefft St Nipomo CA 93444-8946 Ph: (805) 929-6814 | Pacific Holistic Dental, Inc. 530 W Tefft St Nipomo CA 93444-8946 Ph: (805) 929-6814 |
| NPI Number | 1780900480 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780900480 | NPI | - | NPPES |
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