| |
11017 Valley Blvd El Monte CA 91731-2516 | |
(626) 452-1222 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 11017 Valley Blvd, El Monte, California |
Authorized Official Name and Position | Jerry L Lanier (CEO/PRESIDENT) |
Authorized Official Contact | 3233450337 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11017 Valley Blvd El Monte CA 91731-2516 Ph: (626) 452-1222 | 11017 Valley Blvd El Monte CA 91731-2516 Ph: (626) 452-1222 |
NPI Number | 1801109608 |
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Provider Enumeration Date | 07/21/2010 |
Last Update Date | 07/21/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801109608 | NPI | - | NPPES |
40088 | Medicaid | CA | |
1356489660 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 40088 (California) | Primary |
Gutierrez Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 E Valley Blvd, Ste 112, El Monte, CA 91732 Phone: 626-443-7929 Fax: 626-443-4871 | |
Wan Yi Chu & Chao Kuei Chen Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10990 Lower Azusa Rd, #6, El Monte, CA 91731 Phone: 626-448-4288 Fax: 626-448-1978 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11450 Valley Blvd, El Monte, CA 91731 Phone: 626-575-5850 Fax: 626-443-6410 | |