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Organization
PROCARE DENTAL GROUP, JOEY S. TIRADOR D.D.S. INC.
Active
Organization
PROCARE DENTAL GROUP, JOEY S. TIRADOR D.D.S. INC.
Active
Parent organization
1232 E. MAIN STREET, BARSTOW, CA 92311
Other names
ProCare Dental Group, Victorville Branch
Organization subpart
Yes
Provider details
NPI number
Legal business name
1232 E. MAIN STREET, BARSTOW, CA 92311
Authorized official
DR. JOEY SORIANO TIRADOR DDS (PRESIDENT/CEO)
(760) 256-1189
Entity
Organization
Contact information
Practice address
1232 E MAIN ST, BARSTOW, CA 92311-2409
(760) 256-1189
(760) 256-1427
Mailing address
1232 E MAIN ST, BARSTOW, CA 92311-2409
(760) 256-1189
(760) 256-1427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356565923
NPI
CA
Enumeration date
12/27/2007
Last updated
08/18/2021
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