| Elly Swadipura Dds | |
|
13105 Ramona Blvd Suite A Irwindale CA 91706-3858 | |
| (626) 962-2778 | |
| (626) 338-8669 |
| Full Name | Elly Swadipura Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13105 Ramona Blvd, Irwindale, California |
| Authorized Official Name and Position | Elly Swadipura (DENTIST OWNER) |
| Authorized Official Contact | 6269622778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elly Swadipura Dds 13105 Ramona Blvd Suite A Irwindale CA 91706-3858 Ph: (626) 962-2778 | Elly Swadipura Dds 13105 Ramona Blvd Suite A Irwindale CA 91706-3858 Ph: (626) 962-2778 |
| NPI Number | 1063813814 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 12/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063813814 | NPI | - | NPPES |
| G90745-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D37508 (California) | Primary |
Maria Teresa A. De Guia, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15712 Arrow Hwy, Irwindale, CA 91706 Phone: 626-337-2600 Fax: 626-337-2644 | |
Irwindale Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16029 Arrow Hwy, Suite E, Irwindale, CA 91706 Phone: 626-962-7200 Fax: 626-962-7220 | |
De Pardo Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16026 Arrow Hwy, Irwindale, CA 91706 Phone: 626-856-3459 Fax: 626-856-3598 |