Melina Pacheco
Dentist, General Practice in Tijuana, BAJA CALIFORNIA. Organization (NPI-2).
NPI number1982105276
StatusActive
Last updated in NPPESFeb 22, 2018
Details
- NPI
- 1982105276
- Entity type
- Organization (NPI-2)
- Legal business name
- Melina Pacheco
- Organization subpart
- No
- Enumeration date
- Feb 22, 2018
- Last updated
- Feb 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5498731 | – | Yes |
Other names
- Melina Pacheco (Former Legal Business Name)
Practice location
Monte Jaraguay #18701-16Tijuana, BAJA CALIFORNIA 22000
Mexico
Phone 619-488-3200 · Fax 866-272-6924
Mailing address
Monte Jaraguay #18701-16Tijuana, BAJA CALIFORNIA 22000
Mexico
Authorized official
Melina Pacheco
Dentist
6194883200
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