Provider Demographics
NPI:1003831777
Name:DAVID PACE D.D.S. INC.
Entity Type:Organization
Organization Name:DAVID PACE D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-913-7359
Mailing Address - Street 1:18800 AMAR RD STE C3
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4177
Mailing Address - Country:US
Mailing Address - Phone:626-913-7359
Mailing Address - Fax:
Practice Address - Street 1:18800 AMAR RD STE C3
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4177
Practice Address - Country:US
Practice Address - Phone:626-913-7359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA258291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty