| Clinica Dental Integral | |
|
3045 S Archibald Ave Suite H-289 Ontario CA 91761-9001 | |
| (909) 758-8275 | |
| Not Available |
| Full Name | Clinica Dental Integral |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3045 S Archibald Ave, Ontario, California |
| Authorized Official Name and Position | Jessica Serrano (ADMINISTRATOR) |
| Authorized Official Contact | 6192702243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dental Integral 9379 Ignacio Comonfort Suite 'b' Tijuana BAJA CALIFORNIA 22210 Ph: (619) 270-2243 | Clinica Dental Integral 3045 S Archibald Ave Suite H-289 Ontario CA 91761-9001 Ph: (909) 758-8275 |
| NPI Number | 1457503922 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457503922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | MX15793 (ZZ) | Primary |
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