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Nael Alejadnrina Bon Quiles

Dentist

Dental Providers

Mision De Loreto 2956, Tijuana, Baja California 22010 (Mexico)

PECOS Enrollment

Based on the most recent information from CMS, provider Nael Alejadnrina Bon Quiles does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1154105492
Provider Type
Organization
Full Name
Nael Alejadnrina Bon Quiles

Subpart
No
Enumeration Date
8/18/2023
Last Updated
8/18/2023

Contact Information

Practice Location

Mision De Loreto 2956, Tijuana, Baja California 22010 (Mexico)

(619) 272-9021

Unlisted Fax

Mailing Location

3975 Camino De Plz Ste #1401, San Ysidro, CA 92173

(619) 272-9021

Unlisted Fax

Authorized Official

Bon Quiles, Nael Alejandrina (Provider)

(619) 272-9021

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License Unlisted Issuer

Nael Alejadnrina Bon Quiles

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Hermes Perez

Marco Antonio Lazaro Meraz

Nancy Ponce Vera

Primerodental

Gomez, Jose E

Denitza De La Herran

Zeus Mendoza Gonzalez

Ramses Angulo Pena

Karla Moreno

Cesar Simental