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786 E Foothill Blvd Ste D Rialto CA 92376-5285 | |
| (909) 874-7870 | |
| (909) 986-6179 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 786 E Foothill Blvd, Rialto, California |
| Authorized Official Name and Position | Oscar B Esparza (PRESIDENT) |
| Authorized Official Contact | 9098747870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
786 E Foothill Blvd Ste D Rialto CA 92376-5285 Ph: (909) 874-7870 | 786 E Foothill Blvd Ste D Rialto CA 92376-5285 Ph: (909) 874-7870 |
| NPI Number | 1124382296 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124382296 | NPI | - | NPPES |
| D45252-02 | Medicaid | CA | |
| B41648-02 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Patricia Ann Pompa, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 N Riverside Ave, Rialto, CA 92376 Phone: 909-874-3210 Fax: 909-874-3802 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 W. Foothill Blvd., Rialto, CA 92376 Phone: 909-546-1366 Fax: 909-820-7561 | |