Jeremias Mariano Pinacapal Miguel DMD

NPI 1003975939 - Dentist - 122300000X

NPI Details
NPI 1003975939
Gender Male
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
525 N AZUSA AVENUE
AZUSA CA, 91702, US
Phone (626) 969-8779
Fax (626) 969-8779
Business Location
525 N AZUSA AVENUE
AZUSA CA, 91702, US
Phone (626) 969-8779
Fax (626) 969-8779
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 25949
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According to our database, Dr. Jeremias Mariano Pinacapal Miguel DMD NPI is 1003975939, taxonomy code is 122300000X and license number is 25949, license state is located at California. Jeremias Mariano Pinacapal Miguel DMD physically located at 525 N Azusa Avenue, Azusa CA, 91702. NPI Number Jeremias Mariano Pinacapal Miguel DMD has the Individual type.

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1003975939 NPI number is provided on an as is basis without warranty of any kind. 1003975939 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremias Mariano Pinacapal Miguel DMD are for informational purposes only.