| Jose Enrique Arevalo Dds, Inc | |
|
13161 Peyton Dr Suite B Chino Hills CA 91709-6006 | |
| (909) 465-6861 | |
| (909) 465-6867 |
| Full Name | Jose Enrique Arevalo Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13161 Peyton Dr, Chino Hills, California |
| Authorized Official Name and Position | Jose Enrique Arevalo (PRESIDENT/ DENTIST) |
| Authorized Official Contact | 9094656861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Enrique Arevalo Dds, Inc 13161 Peyton Dr Suite B Chino Hills CA 91709-6006 Ph: (909) 465-6861 | Jose Enrique Arevalo Dds, Inc 13161 Peyton Dr Suite B Chino Hills CA 91709-6006 Ph: (909) 465-6861 |
| NPI Number | 1376783845 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 02/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376783845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49453 (California) | Primary |
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