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20162 Us Highway 18 Apple Valley CA 92307-2935 | |
(760) 946-1466 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 20162 Us Highway 18, Apple Valley, California |
Authorized Official Name and Position | Sun Choi (OWNER) |
Authorized Official Contact | 7609461466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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20162 Us Highway 18 Apple Valley CA 92307-2935 Ph: (760) 946-1466 | 20162 Us Highway 18 Apple Valley CA 92307-2935 Ph: (760) 946-1466 |
NPI Number | 1881108546 |
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Provider Enumeration Date | 11/16/2017 |
Last Update Date | 11/16/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881108546 | NPI | - | NPPES |
1720485618 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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