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Daniel T. Estacio, Dds, Inc.
Preferred Provider Organization in Glendale, California
NPI 1649467291

Daniel T. Estacio, Dds, Inc. is a Preferred Provider Organization based in Glendale, CA. Daniel T. Estacio, Dds, Inc. practices in Glendale, CA. The NPI Number for Daniel T. Estacio, Dds, Inc. is 1649467291 and holds a License No. 47886 (California).

The current practice location address for Daniel T. Estacio, Dds, Inc. is 1140 E Chevy Chase Dr, Glendale, CA and can be reached out via phone at 818-247-3387 and via fax at 818-247-2680.

Location: 1140 E Chevy Chase Dr, Glendale, CA, 91205-2511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649467291
Provider Name
Daniel T. Estacio, Dds, Inc.
Credential
Provider Entity Type
Organization
Address
1140 E Chevy Chase Dr, Glendale, CA, 91205-2511
Phone Number
818-247-3387
Fax Number
818-247-2680
Provider Enumeration Date
09/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G-93853-01 01 CA MEDI-CAL PROVIDER NO
institution
Provider Business Practice Location Address Details
Address
1140 E Chevy Chase Dr
City
Glendale
State
California
Zip
91205-2511
Phone Number
818-247-3387
Fax Number
818-247-2680
person
Provider Business Mailing Address Details
Address
1140 E Chevy Chase Dr
City
Glendale
State
California
Zip
91205-2511
Phone Number
818-247-3387
Fax Number
818-247-2680
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
47886 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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