Mark Chevy S Ledesma Dds Inc | |
319 N Azusa Ave W Covina CA 91791 | |
(626) 967-7727 | |
(626) 967-7887 |
Full Name | Mark Chevy S Ledesma Dds Inc |
---|---|
Speciality | Dentist |
Location | 319 N Azusa Ave, W Covina, California |
Authorized Official Name and Position | Mark Chevy S Ledesma (DENTIST PRESIDENT) |
Authorized Official Contact | 6269677727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark Chevy S Ledesma Dds Inc 319 N Azusa Ave W Covina CA 91791 Ph: (626) 967-7727 | Mark Chevy S Ledesma Dds Inc 319 N Azusa Ave W Covina CA 91791 Ph: (626) 967-7727 |
NPI Number | 1548302748 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 12/31/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548302748 | NPI | - | NPPES |
G9228801 | Other | CA | DENTICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 44006 (California) | Primary |