| Cerritos Dental Group | |
|
635 E Arrow Hwy Azusa CA 91702-5802 | |
| (626) 915-8122 | |
| Not Available |
| Full Name | Cerritos Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 635 E Arrow Hwy, Azusa, California |
| Authorized Official Name and Position | Martin G Reyes (OWNER) |
| Authorized Official Contact | 6269158122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerritos Dental Group 635 E Arrow Hwy Azusa CA 91702-5802 Ph: (626) 915-8122 | Cerritos Dental Group 635 E Arrow Hwy Azusa CA 91702-5802 Ph: (626) 915-8122 |
| NPI Number | 1841657301 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 04/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841657301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46945 (California) | Primary |
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