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3667 Arlington Avenue Riverside CA 92506-3939 | |
| (951) 684-6600 | |
| (951) 684-3631 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3667 Arlington Avenue, Riverside, California |
| Authorized Official Name and Position | Hon Van Cao (PRESIDENT) |
| Authorized Official Contact | 9516846600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3667 Arlington Avenue Riverside CA 92506-3939 Ph: (951) 684-6600 | 3667 Arlington Avenue Riverside CA 92506-3939 Ph: (951) 684-6600 |
| NPI Number | 1164510004 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164510004 | NPI | - | NPPES |
| G9069701 | Other | CA | DENTICAL MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | CA38655 (California) | Primary |
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