Chen Dds & Trieu Dds Inc. | |
12285 Baseline Rd Ste 110 Rancho Cucamonga CA 91739-8547 | |
(951) 640-2720 | |
Not Available |
Full Name | Chen Dds & Trieu Dds Inc. |
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Speciality | Clinic/Center |
Location | 12285 Baseline Rd Ste 110, Rancho Cucamonga, California |
Authorized Official Name and Position | En Chen (DENTIST) |
Authorized Official Contact | 6263676740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chen Dds & Trieu Dds Inc. 12285 Baseline Rd Ste 110 Rancho Cucamonga CA 91739-8547 Ph: (951) 640-2720 | Chen Dds & Trieu Dds Inc. 12285 Baseline Rd Ste 110 Rancho Cucamonga CA 91739-8547 Ph: (951) 640-2720 |
NPI Number | 1346860988 |
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Provider Enumeration Date | 04/23/2020 |
Last Update Date | 04/23/2020 |
Medicare PECOS PAC ID | 6305269820 |
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Medicare Enrollment ID | O20200630003371 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346860988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | En Chen |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1780090589 PECOS PAC ID: 7113340639 Enrollment ID: I20200721002432 |
Provider Name | Lloyd Trieu |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1922297183 PECOS PAC ID: 5294014254 Enrollment ID: I20200722000542 |
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