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494 S Rancho Ave San Bernardino CA 92410-2144 | |
| (909) 875-8930 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 494 S Rancho Ave, San Bernardino, California |
| Authorized Official Name and Position | Anamaria Arteaga (OWNER) |
| Authorized Official Contact | 9098758930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
228 W Base Line Rd Rialto CA 92376-3306 Ph: (909) 875-8930 | 494 S Rancho Ave San Bernardino CA 92410-2144 Ph: (909) 875-8930 |
| NPI Number | 1609358845 |
|---|---|
| Provider Enumeration Date | 09/04/2018 |
| Last Update Date | 09/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609358845 | NPI | - | NPPES |
| 1740468339 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48222 (California) | Primary |
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