Provider Demographics
NPI:1952551814
Name:PASCUAL, ALBERT (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:
Last Name:PASCUAL
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 E PLAZA BLVD STE 605
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-3663
Mailing Address - Country:US
Mailing Address - Phone:619-267-8905
Mailing Address - Fax:
Practice Address - Street 1:1240 E PLAZA BLVD STE 605
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-3663
Practice Address - Country:US
Practice Address - Phone:619-267-8905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA576471223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics