| Corona Dental | |
|
140 W Ontario Ave Ste 105 Corona CA 92882-5272 | |
| (951) 735-4969 | |
| Not Available |
| Full Name | Corona Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 W Ontario Ave Ste 105, Corona, California |
| Authorized Official Name and Position | Dennis R Fratt (OWNER) |
| Authorized Official Contact | 7144281200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Dental 140 W Ontario Ave Ste 105 Corona CA 92882-5272 Ph: (951) 735-4969 | Corona Dental 140 W Ontario Ave Ste 105 Corona CA 92882-5272 Ph: (951) 735-4969 |
| NPI Number | 1679781090 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679781090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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