|
| |
|
175 N Pennsylvania Ave Ste 4 Glendora CA 91741-3316 | |
| (626) 963-6035 | |
| (626) 963-3316 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 175 N Pennsylvania Ave Ste 4, Glendora, California |
| Authorized Official Name and Position | Flora Demerjian (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6269636035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
175 N Pennsylvania Ave Ste 4 Glendora CA 91741-3316 Ph: (626) 963-6035 | 175 N Pennsylvania Ave Ste 4 Glendora CA 91741-3316 Ph: (626) 963-6035 |
| NPI Number | 1891869996 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891869996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38514 (California) | Primary |
Spo7 Management Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1753 S Valley Center Ave, Glendora, CA 91740 Phone: 626-771-0064 Fax: 626-513-7463 | |
Advanced Dental Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 W. Foothill Blvd, Glendora, CA 91741 Phone: 626-914-9808 Fax: 626-914-9803 | |
Ibrahim Irawan Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 E Arrow Hwy, Glendora, CA 91740 Phone: 626-335-2899 | |
Anna Lee, D.d.s., A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 S Glendora Ave, Suite 210, Glendora, CA 91741 Phone: 626-335-5114 Fax: 626-335-8566 | |