| Mg Reyes Dental Corporation | |
|
14323 Ramona Blvd Baldwin Park CA 91706-3242 | |
| (626) 962-8160 | |
| Not Available |
| Full Name | Mg Reyes Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14323 Ramona Blvd, Baldwin Park, California |
| Authorized Official Name and Position | Martin G Reyes (OWNER) |
| Authorized Official Contact | 6269628160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mg Reyes Dental Corporation 14323 Ramona Blvd Baldwin Park CA 91706-3242 Ph: (626) 962-8160 | Mg Reyes Dental Corporation 14323 Ramona Blvd Baldwin Park CA 91706-3242 Ph: (626) 962-8160 |
| NPI Number | 1881248417 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881248417 | NPI | - | NPPES |
| 1619184223 | Medicaid | CA | |
| 1619184223 | Other | CA | DENTI-CAL |
| 1619184223 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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