| Azusa Dental | |
|
810 E Alosta Ave Azusa CA 91702-2706 | |
| (626) 804-2144 | |
| Not Available |
| Full Name | Azusa Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 E Alosta Ave, Azusa, California |
| Authorized Official Name and Position | Dennis R Fratt (OWNER) |
| Authorized Official Contact | 7144281200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azusa Dental 810 E Alosta Ave Azusa CA 91702-2706 Ph: (626) 804-2144 | Azusa Dental 810 E Alosta Ave Azusa CA 91702-2706 Ph: (626) 804-2144 |
| NPI Number | 1457672149 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 06/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457672149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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