Designer Dentistry Group Of Rialto is a dental clinic (Dentist - Orthodontics And Dentofacial Orthopedics) in Rialto, California. The current practice location for Designer Dentistry Group Of Rialto is 1786 N Riverside Ave, Suite 5, Rialto, California. For appointments, you can reach them via phone at
(909) 874-0323. The mailing address for Designer Dentistry Group Of Rialto is 1786 N Riverside Ave, Suite 5, Rialto, California and phone number is (909) 874-0323.
Designer Dentistry Group Of Rialto is licensed to practice in California (license number 48644) and its
NPI number is 1710289947. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(909) 874-0323.
Dental Care Clinic Profile
| Full Name | Designer Dentistry Group Of Rialto |
|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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| Location | 1786 N Riverside Ave, Rialto, California |
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| Authorized Official Name and Position | Rafaela Delara (ADMINISTRATOR) |
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| Authorized Official Contact | 9098740323 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Designer Dentistry Group Of Rialto
1786 N Riverside Ave
Suite 5
Rialto
CA 92376-8059
Ph: (909) 874-0323 | Designer Dentistry Group Of Rialto
1786 N Riverside Ave
Suite 5
Rialto
CA 92376-8059
Ph: (909) 874-0323 |
NPI Details:
| NPI Number | 1710289947 |
|---|
| Provider Enumeration Date | 11/19/2010 |
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| Last Update Date | 11/19/2010 |
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Medical Identifiers
Medical identifiers for Designer Dentistry Group Of Rialto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710289947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 57581 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 57930 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 46985 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 59318 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 58057 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 53832 (California) | Secondary |
| 1223P0300X | Dentist - Periodontics | 38226 (California) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 24358 (California) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 48644 (California) | Primary |
| 124Q00000X | Dental Hygienist | 25296 (California) | Secondary |
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