Pacific Smile Dental Clinic

LBN: Pacific Smile Dental Clinic
Pacific Smile Dental Clinic is an health care organization with primary practice located at 25025 Red Maple Ln Ste 105 , Moreno Valley CA 92551-1137. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Pacific Smile Dental Clinic can be contacted via phone (951) 924-6370, or through Mondragon, Maritza via phone (951) 924-6370.

Contact Information

Primary practice address
25025 Red Maple Ln Ste 105 Moreno Valley CA 92551-1137
Phone: (951) 924-6370
Fax: (951) 924-6374
Website:
Map and Directions
Authorized official contact:
Name: Mondragon, Maritza
Phone: (951) 924-6370

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 47031 California

Profile Details

NPI number 1073987707
LBN Legal business name Pacific Smile Dental Clinic
DBA Doing business as
Authorized official Mondragon, Maritza
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2015
Last updated Nov 18th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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