| Isabel Perez Ferreruela, Dds, Inc | |
|
360 E 7th St Upland CA 91786 | |
| (949) 910-0739 | |
| Not Available |
| Full Name | Isabel Perez Ferreruela, Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 360 E 7th St, Upland, California |
| Authorized Official Name and Position | Isabel Perez Ferreruela (DDS) |
| Authorized Official Contact | 9499100739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isabel Perez Ferreruela, Dds, Inc 22421 Barton Rd # 531 Grand Terrace CA 92313-5008 Ph: (949) 910-0739 | Isabel Perez Ferreruela, Dds, Inc 360 E 7th St Upland CA 91786 Ph: (949) 910-0739 |
| NPI Number | 1801368238 |
|---|---|
| Provider Enumeration Date | 12/25/2018 |
| Last Update Date | 12/25/2018 |
| Medicare PECOS PAC ID | 0840623245 |
|---|---|
| Medicare Enrollment ID | O20191125001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801368238 | NPI | - | NPPES |
| 1811320781 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Isabel Perez Ferreruela |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811320781 PECOS PAC ID: 1759714157 Enrollment ID: I20191125001978 |
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