| Corona Kids Dentistry | |
|
260 E. Ontario Ave Suite 203 Corona CA 92879-9287 | |
| (714) 655-8493 | |
| Not Available |
| Full Name | Corona Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 260 E. Ontario Ave, Corona, California |
| Authorized Official Name and Position | Robert Wang (PRESIDENT) |
| Authorized Official Contact | 7146558493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Kids Dentistry 977 Villa Montes Cir Corona CA 92879-8878 Ph: () - | Corona Kids Dentistry 260 E. Ontario Ave Suite 203 Corona CA 92879-9287 Ph: (714) 655-8493 |
| NPI Number | 1336330547 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336330547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 50694 (California) | Primary |
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