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NPI Code Detail

MEDICARE: THOMAS PACHECO, DDS, INC.

MEDICARE: THOMAS PACHECO, DDS, INC.
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 Dentistry

General Provider Information

NPI Number : 1881268118
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS PACHECO, DDS, INC.
Provider Business Mailing Address
First Line : 1137 E GREEN ST
Second Line :
City : PASADENA
State : CA
Zip : 91106-2505
Country : US
Telephone Number : 626-584-3031
Fax Number :
Provider Business Practice Location Address
First Line : 1137 E GREEN ST
Second Line :
City : PASADENA
State : CA
Zip : 91106-2505
Country : US
Telephone Number : 626-584-3031
Fax Number :
Authorized Official
Title or Position : DENTIST/PRESIDENT
Name : DR. THOMAS DANIEL PACHECO
Credential : DDS
Telephone Number : 909-524-2283
Provider Enumeration Date : 05/20/2021
Last Update Date : 05/20/2021

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Directions to “THOMAS PACHECO, DDS, INC. ” Practice Location

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