| American Dental Care | |
|
4380 Holt Blvd Ste E Montclair CA 91763-5407 | |
| (909) 626-1100 | |
| (909) 626-1120 |
| Full Name | American Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4380 Holt Blvd Ste E, Montclair, California |
| Authorized Official Name and Position | Robert T Cadalso (PRESIDENT) |
| Authorized Official Contact | 9096261100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Dental Care 4380 Holt Blvd Ste E Montclair CA 91763-5407 Ph: (909) 626-1100 | American Dental Care 4380 Holt Blvd Ste E Montclair CA 91763-5407 Ph: (909) 626-1100 |
| NPI Number | 1962794107 |
|---|---|
| Provider Enumeration Date | 05/05/2011 |
| Last Update Date | 05/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962794107 | NPI | - | NPPES |
| 30639 | Other | CA | STATE LICENSE |
| 1003934761 | Other | IND NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30639 (California) | Primary |
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