| Foothill Family Dental Office | |
|
1516 Foothill Blvd La Verne CA 91750-3434 | |
| (909) 596-4811 | |
| (909) 596-5102 |
| Full Name | Foothill Family Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1516 Foothill Blvd, La Verne, California |
| Authorized Official Name and Position | Lou A Manolescu (ADMINISTRATOR) |
| Authorized Official Contact | 9095964811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Family Dental Office 1516 Foothill Blvd La Verne CA 91750-3434 Ph: (909) 596-4811 | Foothill Family Dental Office 1516 Foothill Blvd La Verne CA 91750-3434 Ph: (909) 596-4811 |
| NPI Number | 1396900627 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 03/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396900627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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