EDITHA M. AQUINO D.M.D. PROFESSIONAL DENTAL CORPORATION NPI 1265799753

NPI Information

EDITHA M. AQUINO D.M.D. PROFESSIONAL DENTAL CORPORATION is a general practice dentist in Vallejo, 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. EDITHA M. AQUINO D.M.D. PROFESSIONAL DENTAL CORPORATION NPI is 1265799753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2600 SPRINGS RD
VALLEJO, CA
ZIP 94591-713
Phone: (707) 642-3711
Fax: (707) 556-9237

The provider's authorized official is Editha Mendoza Aquino .
The authorized official title is Director and has the following contact phone number (707) 642-3711.

The enumeration date for this NPI number is 4/20/2012 and was last updated on 4/20/2012.

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:

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