| Glendora Dental Center | |
|
610 E Route 66 Glendora CA 91740-3507 | |
| (626) 335-7727 | |
| Not Available |
| Full Name | Glendora Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 610 E Route 66, Glendora, California |
| Authorized Official Name and Position | Pacita Dionisio Franco (PRESIDENT) |
| Authorized Official Contact | 6264827830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendora Dental Center 2490 Martes La Verne CA 91750-1142 Ph: (626) 482-7830 | Glendora Dental Center 610 E Route 66 Glendora CA 91740-3507 Ph: (626) 335-7727 |
| NPI Number | 1164910741 |
|---|---|
| Provider Enumeration Date | 04/29/2018 |
| Last Update Date | 04/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164910741 | NPI | - | NPPES |
| 515489 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 40227 (California) | Primary |
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