| Covina Dental Office | |
|
410 S Glendora Ave Suite 150 Glendora CA 91741-6207 | |
| (626) 967-6767 | |
| (626) 966-2986 |
| Full Name | Covina Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 410 S Glendora Ave, Glendora, California |
| Authorized Official Name and Position | Falamack Zaltash (DOCTOR) |
| Authorized Official Contact | 6269676767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covina Dental Office 410 S Glendora Ave Suite 150 Glendora CA 91741-6207 Ph: (626) 967-6767 | Covina Dental Office 410 S Glendora Ave Suite 150 Glendora CA 91741-6207 Ph: (626) 967-6767 |
| NPI Number | 1528105319 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528105319 | NPI | - | NPPES |
| B40769 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40769 (California) | Primary |
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