| Inland Empire Dental Specialty Group | |
|
415 Brookside Ave Redlands CA 92373-4609 | |
| (909) 792-8440 | |
| (909) 792-9694 |
| Full Name | Inland Empire Dental Specialty Group |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 415 Brookside Ave, Redlands, California |
| Authorized Official Name and Position | Peter Cho (CO 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 415 Brookside Ave Redlands CA 92373-4609 Ph: (909) 792-8440 | Inland Empire Dental Specialty Group 415 Brookside Ave Redlands CA 92373-4609 Ph: (909) 792-8440 |
| NPI Number | 1922433531 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 09/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922433531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 50740 (California) | Primary |
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