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12555 Central Ave Ste B Chino CA 91710-3569 | |
| (909) 627-0988 | |
| (909) 627-8269 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12555 Central Ave Ste B, Chino, California |
| Authorized Official Name and Position | Bijal B Joshi (OWNER) |
| Authorized Official Contact | 9096270988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12555 Central Ave Ste B Chino CA 91710-3569 Ph: (909) 627-0988 | 12555 Central Ave Ste B Chino CA 91710-3569 Ph: (909) 627-0988 |
| NPI Number | 1558884627 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558884627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49763 (California) | Primary |
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