| Latin American Dental Office Iii | |
|
407 E Gilbert St Ste 5 San Bernardino CA 92404-5325 | |
| (909) 885-7000 | |
| (909) 885-7008 |
| Full Name | Latin American Dental Office Iii |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 407 E Gilbert St Ste 5, San Bernardino, California |
| Authorized Official Name and Position | Gabriel G. Martinez (CEO-PRESIDENT) |
| Authorized Official Contact | 9094696967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latin American Dental Office Iii 407 E Gilbert St Ste 5 San Bernardino CA 92404-5325 Ph: (909) 885-7000 | Latin American Dental Office Iii 407 E Gilbert St Ste 5 San Bernardino CA 92404-5325 Ph: (909) 885-7000 |
| NPI Number | 1588039929 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 08/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588039929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46886 (California) | Primary |
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