| California Smile Dentistry | |
|
1060 W Foothill Blvd Upland CA 91786-3730 | |
| (909) 373-4600 | |
| (909) 373-4900 |
| Full Name | California Smile Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1060 W Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Jackqueline M Martinez (PRESIDENT) |
| Authorized Official Contact | 9095562820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Smile Dentistry 1060 W Foothill Blvd Upland CA 91786-3730 Ph: (909) 373-4600 | California Smile Dentistry 1060 W Foothill Blvd Upland CA 91786-3730 Ph: (909) 373-4600 |
| NPI Number | 1194146498 |
|---|---|
| Provider Enumeration Date | 01/04/2014 |
| Last Update Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194146498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41955 (California) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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