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7798 Cherry Ave Fontana CA 92336-4014 | |
| (909) 428-6890 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7798 Cherry Ave, Fontana, California |
| Authorized Official Name and Position | Sejal Rajurkar (CEO/OWNER) |
| Authorized Official Contact | 9094286890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7798 Cherry Ave Fontana CA 92336-4014 Ph: (909) 428-6890 | 7798 Cherry Ave Fontana CA 92336-4014 Ph: (909) 428-6890 |
| NPI Number | 1467907873 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467907873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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