| Foothill Dental | |
|
11561 Foothill Blvd Ste 104 Rancho Cucamonga CA 91730-3999 | |
| (909) 483-7811 | |
| Not Available |
| Full Name | Foothill Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11561 Foothill Blvd Ste 104, Rancho Cucamonga, California |
| Authorized Official Name and Position | Dennis R Fratt (OWNER) |
| Authorized Official Contact | 7144281200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Dental 11561 Foothill Blvd Ste 104 Rancho Cucamonga CA 91730-3999 Ph: (909) 483-7811 | Foothill Dental 11561 Foothill Blvd Ste 104 Rancho Cucamonga CA 91730-3999 Ph: (909) 483-7811 |
| NPI Number | 1366650830 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366650830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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