De Pardo Dental Corporation

Organization Active NPI General Practice Dentistry · Irwindale, CA

NPI 1760717698 · NPPES record last updated Oct 9, 2009

Key facts

NPI
1760717698
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
50688 (CA)
Legal business name
DE PARDO DENTAL CORPORATION
Practice address
16026 Arrow Hwy
Irwindale, CA 91706-2011
Phone
(626) 856-3459
Fax
(626) 856-3598
NPI assigned
Oct 9, 2009
Organization subpart
No

Authorized official

Name
Dr. Jaime Arturo Pardo, D.D.S
Title
President-Dentist
Phone
(626) 856-3459

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

16026 Arrow Hwy
Irwindale, CA 91706
Phone (626) 856-3459

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 50688 CA Yes
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 56575 CA

Addresses

Primary practice location

16026 Arrow Hwy
Irwindale, CA 91706-2011

Mailing address

16026 Arrow Hwy
Irwindale, CA 91706-2011
Phone (626) 856-3459

Other providers in Irwindale, CA

All providers in Irwindale, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.