| Banaria Dental Group Inc | |
|
1550 E. Amar Road Suite V West Covina CA 91792 | |
| (626) 913-3341 | |
| Not Available |
| Full Name | Banaria Dental Group Inc |
|---|---|
| Speciality | Dentist |
| Location | 1550 E. Amar Road Suite V, West Covina, California |
| Authorized Official Name and Position | Vivian Caterio Banaria (PRESIDENT/OWNER) |
| Authorized Official Contact | 6269133341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banaria Dental Group Inc 1550 E. Amar Road Suite V West Covina CA 91792 Ph: (626) 913-3341 | Banaria Dental Group Inc 1550 E. Amar Road Suite V West Covina CA 91792 Ph: (626) 913-3341 |
| NPI Number | 1972160083 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972160083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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