| Blue Hills Dental | |
|
1208 W Francisquito Ave Unit E West Covina CA 91790-4780 | |
| (626) 917-0900 | |
| (626) 917-0911 |
| Full Name | Blue Hills Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1208 W Francisquito Ave, West Covina, California |
| Authorized Official Name and Position | Cherag D Sarkari (PRESIDENT) |
| Authorized Official Contact | 9165636011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Hills Dental 8890 Cal Center Dr Sacramento CA 95826-3200 Ph: (916) 922-5000 | Blue Hills Dental 1208 W Francisquito Ave Unit E West Covina CA 91790-4780 Ph: (626) 917-0900 |
| NPI Number | 1386963056 |
|---|---|
| Provider Enumeration Date | 05/20/2010 |
| Last Update Date | 09/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386963056 | NPI | - | NPPES |
| G88497-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50983 (California) | Primary |
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