Organization
PACIFICO DENTAL CARE LLC
Active
Other names
Pacifico Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L PACIFICO DMD (OWNER)
(610) 588-2722
Entity
Organization
Contact information
Practice address
48 N 3RD ST, BANGOR, PA 18013-1908
(610) 588-2722
(610) 599-1034
Mailing address
48 N 3RD ST, BANGOR, PA 18013-1908
(610) 588-2722
(610) 599-1034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
07/26/2016
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