| Ana Liza E. De Jesus Dmd Inc. | |
|
9760 Base Line Rd Ste 102 Rancho Cucamonga CA 91701-5989 | |
| (909) 483-0400 | |
| (909) 483-4708 |
| Full Name | Ana Liza E. De Jesus Dmd Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9760 Base Line Rd Ste 102, Rancho Cucamonga, California |
| Authorized Official Name and Position | Ana Liza De Jesus (DENTIST) |
| Authorized Official Contact | 9094830400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ana Liza E. De Jesus Dmd Inc. 9760 Base Line Rd Ste 102 Rancho Cucamonga CA 91701-5989 Ph: (909) 483-0400 | Ana Liza E. De Jesus Dmd Inc. 9760 Base Line Rd Ste 102 Rancho Cucamonga CA 91701-5989 Ph: (909) 483-0400 |
| NPI Number | 1760236335 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760236335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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