Organization
PURECO DENTAL GROUP INC
Active
Other names
Pureco Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO PURECO D.D.S (OWNER/ DENTIST)
(909) 256-0090
Entity
Organization
Contact information
Practice address
485 E FOOTHILL BLVD STE E, UPLAND, CA 91786-3987
(909) 256-0090
(909) 256-0092
Mailing address
485 E FOOTHILL BLVD STE E, UPLAND, CA 91786-3987
(909) 256-0090
(909) 256-0092
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
01/23/2023
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