| Pureco Dental Group Inc | |
|
485 E Foothill Blvd Ste E Upland CA 91786-3987 | |
| (909) 256-0090 | |
| (909) 256-0092 |
| Full Name | Pureco Dental Group Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 485 E Foothill Blvd Ste E, Upland, California |
| Authorized Official Name and Position | Mario Pureco (OWNER/ DENTIST) |
| Authorized Official Contact | 9092560090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pureco Dental Group Inc 485 E Foothill Blvd Ste E Upland CA 91786-3987 Ph: (909) 256-0090 | Pureco Dental Group Inc 485 E Foothill Blvd Ste E Upland CA 91786-3987 Ph: (909) 256-0090 |
| NPI Number | 1376197954 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376197954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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