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Organization
TINOCO DENTAL CORP
Active
Organization
TINOCO DENTAL CORP
Active
Other names
Rooted Dental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CHAVEZ (INSURANCE COORDINATOR)
(312) 752-5413
Entity
Organization
Contact information
Practice address
1461 W GRAND AVE UNIT 3E, GROVER BEACH, CA 93433-2287
(805) 888-4259
(805) 888-2744
Mailing address
1461 W GRAND AVE UNIT 3E, GROVER BEACH, CA 93433-2287
(805) 888-4259
(805) 888-2744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
04/06/2023
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