# PACIFICO DENTAL CARE OF FORKS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689188807
- **Authorized official:** DR. LAUREN PACIFICO DDS (DENTIST, OWNER)
- **Authorized official phone:** (610) 810-3511

## Contact information

- **Practice address:** 2202 SULLIVAN TRAIL, EASTON, PA 18040
- **Practice address phone:** (484) 695-8790
- **Mailing address:** 2202 SULLIVAN TRAIL, EASTON, PA 18040
- **Mailing address phone:** (610) 810-3511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2017
- **Last updated:** 09/11/2018