Procare Dental Group, Joey S. Tirador D.D.S. Inc.

LBN: Procare Dental Group, Joey S. Tirador D.D.S. Inc.
Procare Dental Group, Joey S. Tirador D.D.S. Inc. is an health care organization with primary practice located at 12602 Amargosa Rd Suite 'D', Victorville CA 92392-7640. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Procare Dental Group, Joey S. Tirador D.D.S. Inc. can be contacted via phone (760) 951-9997, or through Tirador, Joey Soriano via phone (760) 256-1189.

Contact Information

Primary practice address
12602 Amargosa Rd Suite 'D' Victorville CA 92392-7640
Fax: (760) 962-9424
Website:
Authorized official contact:
Name: Tirador, Joey Soriano Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X CA 50993 California

Profile Details

NPI number 1023253127
LBN Legal business name Procare Dental Group, Joey S. Tirador D.D.S. Inc.
DBA Doing business as
Authorized official Tirador, Joey Soriano Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 4th, 2008
Last updated Sep 3rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023253127 NPPES
California Other G-94083-02 MEDI-CAL

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