| Community Dental Of Dr. Chi | |
|
11875 Pigeon Pass Rd Buite B9 Moreno Valley CA 92557-6039 | |
| (951) 488-8688 | |
| (951) 488-8688 |
| Full Name | Community Dental Of Dr. Chi |
|---|---|
| Speciality | Dentist |
| Location | 11875 Pigeon Pass Rd, Moreno Valley, California |
| Authorized Official Name and Position | Ching-roo Tony Chi (DENTIST) |
| Authorized Official Contact | 9514888688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Of Dr. Chi 11875 Pigeon Pass Rd Suite B9 Moreno Valley CA 92557-6039 Ph: (951) 488-8688 | Community Dental Of Dr. Chi 11875 Pigeon Pass Rd Buite B9 Moreno Valley CA 92557-6039 Ph: (951) 488-8688 |
| NPI Number | 1922237155 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922237155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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