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NPI Code Detail

MEDICARE: DR. VERONICA A CERVANTES-PRADO DDS

MEDICARE: DR. VERONICA A CERVANTES-PRADO DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry54300CA

General Provider Information

NPI Number : 1841203502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERONICA A CERVANTES-PRADO DDS
Provider Business Mailing Address
First Line : PO BOX 9067
Second Line :
City : VALLEJO
State : CA
Zip : 94591-9067
Country : US
Telephone Number : 707-557-5822
Fax Number :
Provider Business Practice Location Address
First Line : 175 W COURT ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-2913
Country : US
Telephone Number : 530-661-4430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 08/21/2023

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Directions to “ DR. VERONICA A CERVANTES-PRADO DDS” Practice Location

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