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Organization
JOEY S. TIRADOR, DDS, INC.
Active
Organization
JOEY S. TIRADOR, DDS, INC.
Active
Parent organization
1538343470
Other names
ProCare Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
1538343470
Authorized official
DR. JOEY SORIANO TIRADOR DDS (PRESIDENT AND 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
—
G94083-02
DENTI-CAL
CA
Enumeration date
02/04/2009
Last updated
02/04/2009
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