| Creative Dental Arts, Inc. | |
|
520 W Badillo St Covina CA 91722-3762 | |
| (626) 331-6819 | |
| Not Available |
| Full Name | Creative Dental Arts, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 520 W Badillo St, Covina, California |
| Authorized Official Name and Position | Mitra Nejat-bina (PRESIDENT) |
| Authorized Official Contact | 6263316819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Dental Arts, Inc. 520 W Badillo St Covina CA 91722-3762 Ph: (626) 331-6819 | Creative Dental Arts, Inc. 520 W Badillo St Covina CA 91722-3762 Ph: (626) 331-6819 |
| NPI Number | 1740494772 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740494772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40171 (California) | Primary |
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