| Isabella Piedra Professional Dental Corporation | |
|
9469 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5305 | |
| (909) 483-6851 | |
| (909) 483-6853 |
| Full Name | Isabella Piedra Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9469 Haven Ave Ste 100, Rancho Cucamonga, California |
| Authorized Official Name and Position | Isabella Piedra (DENTIST) |
| Authorized Official Contact | 9094836851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isabella Piedra Professional Dental Corporation 9469 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5305 Ph: (909) 483-6851 | Isabella Piedra Professional Dental Corporation 9469 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5305 Ph: (909) 483-6851 |
| NPI Number | 1790943470 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 04/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790943470 | NPI | - | NPPES |
| 47307 | Other | CA | DENTAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 47307 (California) | Primary |
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