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MR. AMOS BENJAMIN ACEVEDO DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1609904374

Individual Registrant:
MR. AMOS BENJAMIN ACEVEDO DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
21890 COLORADO AVE.  SAN JOAQUIN, CA 93660 US
Tel: 559-693-2467  Fax: 559-693-2398

Contact information for business:
774 CUESTA ST  MORRO BAY, CA 93442-1783 US
Tel: 805-704-3591  Fax: --

Registration Information:
NPI: 1609904374
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA27943

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
FHC03875FCA05




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