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1141 E Alosta Ave Azusa CA 91702-2740 | |
| (626) 335-8000 | |
| (626) 335-1333 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1141 E Alosta Ave, Azusa, California |
| Authorized Official Name and Position | Jean Maroun Kattar (CEO PROVIDER) |
| Authorized Official Contact | 6263358000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1141 E Alosta Ave Azusa CA 91702-2740 Ph: (626) 335-8000 | 1141 E Alosta Ave Azusa CA 91702-2740 Ph: (626) 335-8000 |
| NPI Number | 1255590303 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 06/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255590303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39973 (California) | Primary |
James D. Ahn, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Gladstone St, Azusa, CA 91702 Phone: 626-969-6728 | |
Vigliarolo Chen Canlas Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N Citrus Ave Ste A, Azusa, CA 91702 Phone: 626-804-7715 Fax: 626-507-6315 | |