Organization
CERVANTES AND PRADO DENTAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONICA A PRADO DDS (CFO, CHIEF FINANCIAL OFFICER)
(707) 557-5822
Entity
Organization
Contact information
Practice address
1620 VALLE VISTA AVE STE 150, VALLEJO, CA 94589-2886
(707) 557-5822
Mailing address
PO BOX 9067, VALLEJO, CA 94591-9067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54300
CA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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