| Covina Surgery Center Dental Group | |
|
246 W College St Ste 200 Covina CA 91723-1910 | |
| (323) 982-0004 | |
| Not Available |
| Full Name | Covina Surgery Center Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 246 W College St Ste 200, Covina, California |
| Authorized Official Name and Position | John Khalaf (PRESIDENT) |
| Authorized Official Contact | 3239820004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covina Surgery Center Dental Group 246 W College St Ste 200 Covina CA 91723-1910 Ph: () - | Covina Surgery Center Dental Group 246 W College St Ste 200 Covina CA 91723-1910 Ph: (323) 982-0004 |
| NPI Number | 1942466131 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942466131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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