Assistance League Of San Bernardino | |
580 W 6th St San Bernardino CA 92410-3002 | |
(909) 885-2045 | |
(909) 885-5900 |
Full Name | Assistance League Of San Bernardino |
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Speciality | Dentist - Pediatric Dentistry |
Location | 580 W 6th St, San Bernardino, California |
Authorized Official Name and Position | Cheryl Fulton Fischer (CHAIR, DR. EARL R. CRANE CHILDREN'S) |
Authorized Official Contact | 9098852045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Assistance League Of San Bernardino 580 W 6th St San Bernardino CA 92410-3002 Ph: (909) 885-2045 | Assistance League Of San Bernardino 580 W 6th St San Bernardino CA 92410-3002 Ph: (909) 885-2045 |
NPI Number | 1780708768 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780708768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 54145 (California) | Primary |
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