| Jaclyn Bradle Dds Inc. | |
|
8639 1/2 Baseline Rd Rancho Cucamonga CA 91730-1111 | |
| (626) 290-7106 | |
| Not Available |
| Full Name | Jaclyn Bradle Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8639 1/2 Baseline Rd, Rancho Cucamonga, California |
| Authorized Official Name and Position | Jaclyn Bradle (PRESIDENT) |
| Authorized Official Contact | 6262907106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Bradle Dds Inc. 113 N Burnaby Dr Glendora CA 91741-3131 Ph: (626) 290-7106 | Jaclyn Bradle Dds Inc. 8639 1/2 Baseline Rd Rancho Cucamonga CA 91730-1111 Ph: (626) 290-7106 |
| NPI Number | 1891105540 |
|---|---|
| Provider Enumeration Date | 05/03/2014 |
| Last Update Date | 05/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891105540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61315 (California) | Primary |
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