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1205 W Renaissance Pkwy Suite 240 Rialto CA 92376 | |
| (310) 820-9933 | |
| (310) 820-0408 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1205 W Renaissance Pkwy, Rialto, California |
| Authorized Official Name and Position | Miguel Reyes (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Authorized Official Contact | 3108209933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 409-4225 | 1205 W Renaissance Pkwy Suite 240 Rialto CA 92376 Ph: (310) 820-9933 |
| NPI Number | 1942780853 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942780853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (California) | Primary |
Patricia Ann Pompa, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 N Riverside Ave, Rialto, CA 92376 Phone: 909-874-3210 Fax: 909-874-3802 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 W. Foothill Blvd., Rialto, CA 92376 Phone: 909-546-1366 Fax: 909-820-7561 | |