Organization
PACIFICO DENTAL CARE OF FORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN PACIFICO DDS (DENTIST, OWNER)
(610) 810-3511
Entity
Organization
Contact information
Practice address
2202 SULLIVAN TRAIL, EASTON, PA 18040
(484) 695-8790
Mailing address
2202 SULLIVAN TRAIL, EASTON, PA 18040
(610) 810-3511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
09/11/2018
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