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PETERESCUTINDDS NPI 1215302674


NPI Information

NPI: 1215302674
Provider Name: PETERESCUTINDDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3848 N MCKINLEY ST STE D
CORONA, CA
ZIP 92879
Phone: (951) 371-2424
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PETERESCUTINDDS is a dental clinic center in Corona, CA. PETERESCUTINDDS NPI is 1215302674. The provider is registered as an organization entity type.

The provider's business location address is:

3848 N MCKINLEY ST STE D
CORONA, CA
ZIP 92879-113
Phone: (951) 371-2424

The provider's authorized official is Peter Escutin .
The authorized official title is Owner and has the following contact phone number (951) 371-2424.

The enumeration date for this NPI number is 12/9/2015 and was last updated on 12/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental38992CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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