| Glendora Dental Surgery Center | |
|
906 S Grand Ave Glendora CA 91740-4808 | |
| (626) 852-9500 | |
| (702) 562-9610 |
| Full Name | Glendora Dental Surgery Center |
|---|---|
| Speciality | Dentist |
| Location | 906 S Grand Ave, Glendora, California |
| Authorized Official Name and Position | George Arnold Davis (OWNER) |
| Authorized Official Contact | 6268529500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendora Dental Surgery Center 906 S Grand Ave Glendora CA 91740-4808 Ph: (626) 852-9500 | Glendora Dental Surgery Center 906 S Grand Ave Glendora CA 91740-4808 Ph: (626) 852-9500 |
| NPI Number | 1295935328 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295935328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 295877 (California) | Primary |
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Ibrahim Irawan Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 E Arrow Hwy, Glendora, CA 91740 Phone: 626-335-2899 | |
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