| Czarinne A Fetalino Dmd Inc | |
|
1220 S Diamond Bar Blvd Suite G Diamond Bar CA 91765 | |
| (909) 396-7207 | |
| (909) 396-7242 |
| Full Name | Czarinne A Fetalino Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1220 S Diamond Bar Blvd, Diamond Bar, California |
| Authorized Official Name and Position | Czarinne Ano Fetalino (OWNER) |
| Authorized Official Contact | 9093967207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Czarinne A Fetalino Dmd Inc 1220 S Diamond Bar Blvd Suite G Diamond Bar CA 91765 Ph: (909) 396-7207 | Czarinne A Fetalino Dmd Inc 1220 S Diamond Bar Blvd Suite G Diamond Bar CA 91765 Ph: (909) 396-7207 |
| NPI Number | 1427120815 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427120815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47889 (California) | Primary |
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