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Contact Information

PACIFIC DENTAL CLINIC
1201 N EUCLID ST
ANAHEIM, CA92801-1954
 Phone: 714-817-8345
 Fax: 714-224-7688
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for PACIFIC DENTAL CLINIC

NPI Number 1750575403
LBN Legal business name PACIFIC DENTAL CLINIC
Authorized official JORGE GERONIMO - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2007
Last updated 09/05/2007 - About 19 years ago
Identifiers
CA License # 47897
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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