| Luis Alfredo Velazquez, D.d.s. Inc. | |
|
8977 Foothill Blvd Ste F Rancho Cucamonga CA 91730-3498 | |
| (951) 446-9318 | |
| Not Available |
| Full Name | Luis Alfredo Velazquez, D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 8977 Foothill Blvd Ste F, Rancho Cucamonga, California |
| Authorized Official Name and Position | Luis Alfredo Velazquez (PRESIDENT) |
| Authorized Official Contact | 9514469318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Alfredo Velazquez, D.d.s. Inc. 7675 Newberry Ln Fontana CA 92336-4249 Ph: (951) 446-9318 | Luis Alfredo Velazquez, D.d.s. Inc. 8977 Foothill Blvd Ste F Rancho Cucamonga CA 91730-3498 Ph: (951) 446-9318 |
| NPI Number | 1851918866 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 06/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851918866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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