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Organization
EDITHA M. AQUINO D.M.D. PROFESSIONAL DENTAL CORPORATION
Active
Organization
EDITHA M. AQUINO D.M.D. PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITHA MENDOZA AQUINO D.M.D. (DIRECTOR)
(707) 642-3711
Entity
Organization
Contact information
Practice address
2600 SPRINGS RD, VALLEJO, CA 94591-5713
(707) 642-3711
(707) 556-9237
Mailing address
2600 SPRINGS RD, VALLEJO, CA 94591-5713
(707) 642-3711
(707) 556-9237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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