| Ceres Pediatric Dentistry | |
|
2561 3rd St Ste A Ceres CA 95307-3230 | |
| (209) 538-9298 | |
| Not Available |
| Full Name | Ceres Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2561 3rd St Ste A, Ceres, California |
| Authorized Official Name and Position | Sonia Arevalo (PRESIDENT) |
| Authorized Official Contact | 2132207461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ceres Pediatric Dentistry 2561 3rd St Ste A Ceres CA 95307-3230 Ph: (209) 538-9298 | Ceres Pediatric Dentistry 2561 3rd St Ste A Ceres CA 95307-3230 Ph: (209) 538-9298 |
| NPI Number | 1861196172 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861196172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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