| Caring Family Dentistry | |
|
1063 N D St San Bernardino CA 92410-3539 | |
| (909) 888-5499 | |
| (909) 888-5611 |
| Full Name | Caring Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1063 N D St, San Bernardino, California |
| Authorized Official Name and Position | Tina Mieun Park-lee (OWNER/PARTNER) |
| Authorized Official Contact | 9098885499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Family Dentistry 1063 N D St San Bernardino CA 92410-3539 Ph: (909) 888-5499 | Caring Family Dentistry 1063 N D St San Bernardino CA 92410-3539 Ph: (909) 888-5499 |
| NPI Number | 1437406873 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437406873 | NPI | - | NPPES |
| G9164701 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40976 (California) | Primary |
| 122300000X | Dentist | 36091 (California) | Secondary |
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