Provider Demographics
NPI:1659269611
Name:PINALES DDS DENTAL CORP
Entity type:Organization
Organization Name:PINALES DDS DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SANTO
Authorized Official - Middle Name:G
Authorized Official - Last Name:PINALES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-438-9493
Mailing Address - Street 1:215 CHINA GRADE LOOP
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-1707
Mailing Address - Country:US
Mailing Address - Phone:661-535-4389
Mailing Address - Fax:661-535-4381
Practice Address - Street 1:215 CHINA GRADE LOOP
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-1707
Practice Address - Country:US
Practice Address - Phone:661-535-4389
Practice Address - Fax:661-535-4381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty