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12027 Central Ave Chino CA 91710-1908 | |
| (909) 270-4291 | |
| (909) 517-3023 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 12027 Central Ave, Chino, California |
| Authorized Official Name and Position | Shorouq Sahawneh (OWNER DENTIST) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Spectrum Center Dr Ste 100 Irvine CA 92618-4962 Ph: (714) 578-6358 | 12027 Central Ave Chino CA 91710-1908 Ph: (909) 270-4291 |
| NPI Number | 1265817795 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265817795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55643 (California) | Primary |
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