| Archibald Dental Office | |
|
2550 S Archibald Ave #m Ontario CA 91761 | |
| (909) 923-6622 | |
| (909) 923-3143 |
| Full Name | Archibald Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2550 S Archibald Ave, Ontario, California |
| Authorized Official Name and Position | Hak Cheon Kim (OWNER) |
| Authorized Official Contact | 9099236622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archibald Dental Office 2550 S Archibald Ave #m Ontario CA 91761 Ph: (909) 923-6622 | Archibald Dental Office 2550 S Archibald Ave #m Ontario CA 91761 Ph: (909) 923-6622 |
| NPI Number | 1487720785 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487720785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36394 (California) | Primary |
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