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RUBY DACIO DDS ANDLUTGARDA PEREZ DDS DENTAL CORP NPI 1871761072


NPI Information

NPI: 1871761072
Provider Name: RUBY DACIO DDS ANDLUTGARDA PEREZ DDS DENTAL CORP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
410 JAMES ST
SHAFTER, CA
ZIP 93263
Phone: (661) 746-4067
Get Directions

RUBY DACIO DDS ANDLUTGARDA PEREZ DDS DENTAL CORP is a general practice dentist in Shafter, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RUBY DACIO DDS ANDLUTGARDA PEREZ DDS DENTAL CORP NPI is 1871761072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 JAMES ST
SHAFTER, CA
ZIP 93263-035
Phone: (661) 746-4067

The provider's authorized official is Ruby E Dacio .
The authorized official title is Cfo and has the following contact phone number (661) 746-4067.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 7/7/2008.


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
11223G0001XDentistGeneral Practice43526CALIFORNIAYes

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
1B44243-01OTHERCALIFORNIAHEALTHY FAMILY
2G91807-01MEDICAIDCALIFORNIA

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: 4/28/2024

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