|
| |
|
12385 Central Ave Unit # A Chino CA 91710-2624 | |
| (909) 628-4141 | |
| (909) 628-4121 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12385 Central Ave, Chino, California |
| Authorized Official Name and Position | Tiffany Truong (SECRETARY) |
| Authorized Official Contact | 9516421536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12385 Central Ave Unit # A Chino CA 91710-2624 Ph: (909) 628-4141 | 12385 Central Ave Unit # A Chino CA 91710-2624 Ph: (909) 628-4141 |
| NPI Number | 1023339736 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 06/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023339736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46538 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 47968 (California) | Secondary |
Joo Kim Dental Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4531 Philadelphia St Ste B107, Chino, CA 91710 Phone: 213-595-1410 | |
Doc Chung Dental Group - Chino, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13197 Central Ave Ste 103, Chino, CA 91710 Phone: 909-627-8501 Fax: 909-627-1784 | |
Sarah J Sibbach Dmd, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13788 Roswell Ave, #100, Chino, CA 91710 Phone: 610-390-4058 | |