| Azusa Family Dentistry | |
|
958 E Alosta Ave Azusa CA 91702-2709 | |
| (626) 969-7777 | |
| (626) 969-9075 |
| Full Name | Azusa Family Dentistry |
|---|---|
| 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 |
|---|---|
| Azusa Family Dentistry 958 E Alosta Ave Azusa CA 91702-2709 Ph: (626) 969-7777 | Azusa Family Dentistry 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 |
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