| Peterescutindds | |
|
3848 N Mckinley St Ste D Corona CA 92879-6113 | |
| (951) 371-2424 | |
| Not Available |
| Full Name | Peterescutindds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3848 N Mckinley St Ste D, Corona, California |
| Authorized Official Name and Position | Peter Escutin (OWNER) |
| Authorized Official Contact | 9513712424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterescutindds 3848 N Mckinley St Ste D Corona CA 92879-6113 Ph: (951) 371-2424 | Peterescutindds 3848 N Mckinley St Ste D Corona CA 92879-6113 Ph: (951) 371-2424 |
| NPI Number | 1215302674 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215302674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 38992 (California) | Primary |
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