Chino Dental Arts | |
4110 Edison Ave 107-b Chino CA 91710-8409 | |
(909) 536-1900 | |
Not Available |
Full Name | Chino Dental Arts |
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Speciality | Dentist |
Location | 4110 Edison Ave, Chino, California |
Authorized Official Name and Position | Anisha Sudan (OWNER) |
Authorized Official Contact | 9095361900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chino Dental Arts 4110 Edison Ave 107-b Chino CA 91710-8409 Ph: () - | Chino Dental Arts 4110 Edison Ave 107-b Chino CA 91710-8409 Ph: (909) 536-1900 |
NPI Number | 1912441148 |
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Provider Enumeration Date | 12/07/2016 |
Last Update Date | 12/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912441148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 60267 (California) | Primary |
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