Grigoryan Professional Dental Corp | |
485 E Foothill Blvd E Upland CA 91786-3987 | |
(909) 291-8625 | |
(909) 291-8629 |
Full Name | Grigoryan Professional Dental Corp |
---|---|
Speciality | Clinic/center - Dental |
Location | 485 E Foothill Blvd, Upland, California |
Authorized Official Name and Position | Vahan Grigoryan (OWNER/DENTIST) |
Authorized Official Contact | 9092918625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grigoryan Professional Dental Corp 485 E Foothill Blvd E Upland CA 91786-3987 Ph: (909) 291-8625 | Grigoryan Professional Dental Corp 485 E Foothill Blvd E Upland CA 91786-3987 Ph: (909) 291-8625 |
NPI Number | 1932534450 |
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Provider Enumeration Date | 09/04/2013 |
Last Update Date | 09/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932534450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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