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12571 Limonite Ave Ste. 230 Mira Loma CA 91752-3676 | |
(951) 360-3444 | |
(951) 360-3484 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 12571 Limonite Ave, Mira Loma, California |
Authorized Official Name and Position | Rami Dimitri (OWNER) |
Authorized Official Contact | 9513603444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 12571 Limonite Ave Ste. 230 Mira Loma CA 91752-3676 Ph: (951) 360-3444 |
NPI Number | 1346349685 |
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Provider Enumeration Date | 09/22/2006 |
Last Update Date | 10/07/2019 |
Identifier | Type | State | Issuer |
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1346349685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |