# PACIFICO DENTAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacifico Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316338205
- **Authorized official:** DR. MICHAEL L PACIFICO DMD (OWNER)
- **Authorized official phone:** (610) 588-2722

## Contact information

- **Practice address:** 48 N 3RD ST, BANGOR, PA 18013-1908
- **Practice address phone:** (610) 588-2722
- **Practice address fax:** (610) 599-1034
- **Mailing address:** 48 N 3RD ST, BANGOR, PA 18013-1908
- **Mailing address phone:** (610) 588-2722
- **Mailing address fax:** (610) 599-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2015
- **Last updated:** 07/26/2016