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BEATRIZ VIDALES DDS INC NPI 1730291832


NPI Information

NPI: 1730291832
Provider Name: BEATRIZ VIDALES DDS, INC

Doing Business As: DENTAL FAMILIAR & ORTHO

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
725 N QUINCE ST
101
ESCONDIDO, CA
ZIP 92025
Phone: (760) 743-6790
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BEATRIZ VIDALES DDS, INC is a preferred provider organization in Escondido, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. BEATRIZ VIDALES DDS, INC NPI is 1730291832. The provider is registered as an organization entity type.
The provider Is Doing Business As Dental Familiar & Ortho.

The provider's business location address is:

725 N QUINCE ST
101
ESCONDIDO, CA
ZIP 92025-680
Phone: (760) 743-6790
Fax: (760) 743-2874

The provider's authorized official is Beatriz Vidales .
The authorized official title is Dental Director and has the following contact phone number (760) 743-6790.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/27/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization45212CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145212OTHERCALIFORNIADENTAL LICENCE
2B4521201OTHERCALIFORNIADENTI-CAL ID NUM

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: 11/14/2023

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