|
| |
|
1434 S Grand Ave Glendora CA 91740-5400 | |
| (626) 335-7989 | |
| (626) 335-2089 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1434 S Grand Ave, Glendora, California |
| Authorized Official Name and Position | Iftikhar Ali Khan (PRESIDENT) |
| Authorized Official Contact | 6263357989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1434 S Grand Ave Glendora CA 91740-5400 Ph: (626) 335-7989 | 1434 S Grand Ave Glendora CA 91740-5400 Ph: (626) 335-7989 |
| NPI Number | 1114063112 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114063112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28584 (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 |