Lourdes Cardoso Dds Inc. | |
1051 N Mountain Ave Ontario CA 91762-2157 | |
(909) 988-1800 | |
(909) 988-1833 |
Full Name | Lourdes Cardoso Dds Inc. |
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Speciality | Clinic/center - Dental |
Location | 1051 N Mountain Ave, Ontario, California |
Authorized Official Name and Position | Lourdes Cardoso (OWNER) |
Authorized Official Contact | 9099881800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lourdes Cardoso Dds Inc. 1051 N. Mountain Ave. Ontario CA 91762 Ph: (909) 988-1800 | Lourdes Cardoso Dds Inc. 1051 N Mountain Ave Ontario CA 91762-2157 Ph: (909) 988-1800 |
NPI Number | 1194051292 |
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Provider Enumeration Date | 10/23/2009 |
Last Update Date | 10/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194051292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 50895 (California) | Primary |
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