| |
958 E Alosta Ave Azusa CA 91702-2709 | |
(626) 969-7777 | |
(626) 969-9075 |
Full Name | |
---|---|
Speciality | Dentist |
Location | 958 E Alosta Ave, Azusa, California |
Authorized Official Name and Position | Kiran S Trivedi (OWNER DENTIST) |
Authorized Official Contact | 6269697777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
958 E Alosta Ave Azusa CA 91702-2709 Ph: (626) 969-7777 | 958 E Alosta Ave Azusa CA 91702-2709 Ph: (626) 969-7777 |
NPI Number | 1548472988 |
---|---|
Provider Enumeration Date | 05/06/2007 |
Last Update Date | 07/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548472988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | B39489 (California) | Primary |
James D. Ahn, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Gladstone St, Azusa, CA 91702 Phone: 626-969-6728 | |
Vigliarolo Chen Canlas Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N Citrus Ave Ste A, Azusa, CA 91702 Phone: 626-804-7715 Fax: 626-507-6315 | |