| |
1130 N Riverside Ave Rialto CA 92376-4342 | |
(951) 660-2751 | |
(909) 873-0288 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 1130 N Riverside Ave, Rialto, California |
Authorized Official Name and Position | Crystal G Sauceda (OFFICE MANAGER) |
Authorized Official Contact | 9092318248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1130 N. Riverside Ave. Rialto CA 92376 Ph: (951) 660-2751 | 1130 N Riverside Ave Rialto CA 92376-4342 Ph: (951) 660-2751 |
NPI Number | 1407080104 |
---|---|
Provider Enumeration Date | 05/08/2009 |
Last Update Date | 05/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407080104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 43412 (California) | Primary |
Patricia Ann Pompa, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 N Riverside Ave, Rialto, CA 92376 Phone: 909-874-3210 Fax: 909-874-3802 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 W. Foothill Blvd., Rialto, CA 92376 Phone: 909-546-1366 Fax: 909-820-7561 | |