| Gentle Care Dentistry Of West Covina | |
|
923 N Sunset Ave West Covina CA 91790-1244 | |
| (626) 813-1767 | |
| (626) 813-1735 |
| Full Name | Gentle Care Dentistry Of West Covina |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 923 N Sunset Ave, West Covina, California |
| Authorized Official Name and Position | Georgina Banez (OWNER) |
| Authorized Official Contact | 6269127157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Care Dentistry Of West Covina 923 N Sunset Ave West Covina CA 91790-1244 Ph: (626) 813-1767 | Gentle Care Dentistry Of West Covina 923 N Sunset Ave West Covina CA 91790-1244 Ph: (626) 813-1767 |
| NPI Number | 1518166578 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 01/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518166578 | NPI | - | NPPES |
| B39369-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39369 (California) | Primary |
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