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2321 Foothill Blvd La Verne CA 91750-3027 | |
| (909) 596-1861 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2321 Foothill Blvd, La Verne, California |
| Authorized Official Name and Position | Pacita Dionisio Franco (PRESIDENT) |
| Authorized Official Contact | 6264827830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2321 Foothill Blvd La Verne CA 91750-3027 Ph: (909) 596-1861 | 2321 Foothill Blvd La Verne CA 91750-3027 Ph: (909) 596-1861 |
| NPI Number | 1225569692 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225569692 | NPI | - | NPPES |
| 515489 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40227 (California) | Primary |
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Inland Dental Group Of Hemant V. Patel Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 Foothill Blvd, La Verne, CA 91750 Phone: 909-596-6551 Fax: 909-596-0925 | |
Nigoghosian Dental Group Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2488 Foothill Blvd Ste C, La Verne, CA 91750 Phone: 909-596-1155 | |