| Dental Spa Of West Covina | |
|
346 N Azusa Ave West Covina CA 91791-1345 | |
| (626) 859-2439 | |
| (626) 967-2351 |
| Full Name | Dental Spa Of West Covina |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 346 N Azusa Ave, West Covina, California |
| Authorized Official Name and Position | Jeannie S Lee (OFFICE MANAGER) |
| Authorized Official Contact | 6268592439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Spa Of West Covina 346 N Azusa Ave West Covina CA 91791-1345 Ph: (626) 859-2439 | Dental Spa Of West Covina 346 N Azusa Ave West Covina CA 91791-1345 Ph: (626) 859-2439 |
| NPI Number | 1053455501 |
|---|---|
| Provider Enumeration Date | 02/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053455501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47114 (California) | Primary |
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