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Organization
PROCARE DENTAL
Active
Organization
PROCARE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEY S. 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
Enumeration date
06/21/2007
Last updated
06/17/2008
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