| Echarte-rodriguez Dental Corporation | |
|
546 W Badillo St Ste E Covina CA 91722-3786 | |
| (626) 331-6666 | |
| (626) 331-6660 |
| Full Name | Echarte-rodriguez Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 546 W Badillo St Ste E, Covina, California |
| Authorized Official Name and Position | Gonzalo Echarte (DOCTOR- OWNER) |
| Authorized Official Contact | 6263316666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Echarte-rodriguez Dental Corporation 546 W Badillo St Ste E Covina CA 91722-3786 Ph: (626) 331-6666 | Echarte-rodriguez Dental Corporation 546 W Badillo St Ste E Covina CA 91722-3786 Ph: (626) 331-6666 |
| NPI Number | 1407309602 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 07/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407309602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 52379 (California) | Primary |
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