Fontana Smiles | |
9261 Sierra Ave Fontana CA 92335 | |
(909) 822-2212 | |
Not Available |
Full Name | Fontana Smiles |
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Speciality | Dentist |
Location | 9261 Sierra Ave, Fontana, California |
Authorized Official Name and Position | Suneetha S Garlapati (OWNER DENTIST) |
Authorized Official Contact | 9098222212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fontana Smiles 9261 Sierra Ave Fontana CA 92335-4710 Ph: (909) 822-2212 | Fontana Smiles 9261 Sierra Ave Fontana CA 92335 Ph: (909) 822-2212 |
NPI Number | 1285878488 |
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Provider Enumeration Date | 05/01/2009 |
Last Update Date | 10/09/2020 |
Medicare PECOS PAC ID | 1153741947 |
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Medicare Enrollment ID | O20201016000402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285878488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 47895 (California) | Primary |
Provider Name | Sekhar N Chakka |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1447268305 PECOS PAC ID: 3678993425 Enrollment ID: I20201016002620 |
Provider Name | Suneetha Sekhar Garlapati |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1225156664 PECOS PAC ID: 5496175242 Enrollment ID: I20201020002475 |
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