Provider Demographics
NPI:1417398538
Name:ERBE PALAFOX, DDS, INC.
Entity Type:Organization
Organization Name:ERBE PALAFOX, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERBE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALAFOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-227-6200
Mailing Address - Street 1:4848 N 1ST ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0526
Mailing Address - Country:US
Mailing Address - Phone:559-227-6200
Mailing Address - Fax:559-227-2880
Practice Address - Street 1:4848 N 1ST ST
Practice Address - Street 2:SUITE 106
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0526
Practice Address - Country:US
Practice Address - Phone:559-227-6200
Practice Address - Fax:559-227-2880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty