| Apple Tooth Dental Group | |
|
12429 Mariposa Rd Suite A Victorville CA 92395-6017 | |
| (760) 952-3756 | |
| (760) 952-1008 |
| Full Name | Apple Tooth Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12429 Mariposa Rd, Victorville, California |
| Authorized Official Name and Position | Samuel H. Ko (PRESIDENT/DENTIST) |
| Authorized Official Contact | 7609523756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Tooth Dental Group 12429 Mariposa Rd Suite A Victorville CA 92395-6017 Ph: (760) 952-3756 | Apple Tooth Dental Group 12429 Mariposa Rd Suite A Victorville CA 92395-6017 Ph: (760) 952-3756 |
| NPI Number | 1770965535 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770965535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40454 (California) | Primary |
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