| Thomas Pacheco, DDS, Inc. | |
|
1137 E Green St Pasadena CA 91106-2505 | |
| (626) 584-3031 | |
| Not Available |
| Full Name | Thomas Pacheco, DDS, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1137 E Green St, Pasadena, California |
| Authorized Official Name and Position | Thomas Daniel Pacheco (DENTIST/PRESIDENT) |
| Authorized Official Contact | 9095242283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Pacheco, DDS, Inc. 1137 E Green St Pasadena CA 91106-2505 Ph: (626) 584-3031 | Thomas Pacheco, DDS, Inc. 1137 E Green St Pasadena CA 91106-2505 Ph: (626) 584-3031 |
| NPI Number | 1881268118 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881268118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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