| Inland Empire Dental Specialty Group | |
|
308 W State St Ste. 4a Redlands CA 92373-4653 | |
| (909) 792-8440 | |
| (909) 792-9694 |
| Full Name | Inland Empire Dental Specialty Group |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 308 W State St, Redlands, California |
| Authorized Official Name and Position | Peter Cho (OWNER) |
| Authorized Official Contact | 9097928440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Empire Dental Specialty Group 308 W State St Ste. 4a Redlands CA 92373-4653 Ph: (909) 792-8440 | Inland Empire Dental Specialty Group 308 W State St Ste. 4a Redlands CA 92373-4653 Ph: (909) 792-8440 |
| NPI Number | 1275905093 |
|---|---|
| Provider Enumeration Date | 10/21/2015 |
| Last Update Date | 10/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275905093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 50740 (California) | Primary |
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