| Andrew Mikhail Dental Corporation | |
|
817 W Foothill Blvd Upland CA 91786-3727 | |
| (909) 657-1089 | |
| (909) 654-3009 |
| Full Name | Andrew Mikhail Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 817 W Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Andrew K Mikhail (OWNER) |
| Authorized Official Contact | 9096571089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Mikhail Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Andrew Mikhail Dental Corporation 817 W Foothill Blvd Upland CA 91786-3727 Ph: (909) 657-1089 |
| NPI Number | 1033986914 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033986914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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