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13641 Central Ave Suite G Chino CA 91710-5133 | |
| (909) 628-2333 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 13641 Central Ave, Chino, California |
| Authorized Official Name and Position | Richard J Shih (PRESIDENT) |
| Authorized Official Contact | 9096282333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13641 Central Ave Suite G Chino CA 91710-5133 Ph: (909) 628-2333 | 13641 Central Ave Suite G Chino CA 91710-5133 Ph: (909) 628-2333 |
| NPI Number | 1841479516 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841479516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48019 (California) | Primary |
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