Provider Demographics
NPI:1629526637
Name:FRANKLIN PINEDA MOLINERO
Entity Type:Organization
Organization Name:FRANKLIN PINEDA MOLINERO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:011521551-053-3274
Mailing Address - Street 1:2498 ROLL DR STE 586
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-7213
Mailing Address - Country:US
Mailing Address - Phone:619-661-1671
Mailing Address - Fax:
Practice Address - Street 1:BLVD DE LAS BELLAS ARTES 17686 LOCAL 23
Practice Address - Street 2:GARITA DE OTAY
Practice Address - City:TIJUANA
Practice Address - State:BAJA CALIFORNIA
Practice Address - Zip Code:22430
Practice Address - Country:MX
Practice Address - Phone:01152664-647-5622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
17307801223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty