| Padilla Pediatric Dental Practice, Inc | |
|
1900 Mchenry Ave Ste 302 Escalon CA 95320-9473 | |
| (209) 765-3191 | |
| Not Available |
| Full Name | Padilla Pediatric Dental Practice, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1900 Mchenry Ave Ste 302, Escalon, California |
| Authorized Official Name and Position | Miguel Angel Padilla (OWNER/CEO) |
| Authorized Official Contact | 2097653191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Padilla Pediatric Dental Practice, Inc 1900 Mchenry Ave Ste 302 Escalon CA 95320-9473 Ph: (209) 765-3191 | Padilla Pediatric Dental Practice, Inc 1900 Mchenry Ave Ste 302 Escalon CA 95320-9473 Ph: (209) 765-3191 |
| NPI Number | 1376309856 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376309856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Marshall Dental Group, Inc. A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 La Mesa St, Escalon, CA 95320 Phone: 209-838-7191 |