| Brightnow Dental Laverne | |
|
2497 Foothill Blvd Ste 3 La Verne CA 91750-3066 | |
| (909) 451-0329 | |
| (909) 596-6026 |
| Full Name | Brightnow Dental Laverne |
|---|---|
| Speciality | Dentist |
| Location | 2497 Foothill Blvd, La Verne, California |
| Authorized Official Name and Position | Shorouq Sahawneh (PRESIDENT) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightnow Dental Laverne 2497 Foothill Blvd Ste 3 La Verne CA 91750-3066 Ph: (909) 451-0329 | Brightnow Dental Laverne 2497 Foothill Blvd Ste 3 La Verne CA 91750-3066 Ph: (909) 451-0329 |
| NPI Number | 1609132745 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 07/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609132745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55643 (California) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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