| Michael Danial Dmd Inc | |
|
1233 E. 4th Streer , Unit A Ontario CA 91764-2560 | |
| (909) 988-8666 | |
| Not Available |
| Full Name | Michael Danial Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 1233 E. 4th Streer , Unit A, Ontario, California |
| Authorized Official Name and Position | Michael Danial (CEO) |
| Authorized Official Contact | 9099888666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Danial Dmd Inc 1233 E. 4th Streer , Unit A Ontario CA 91764 Ph: (909) 988-8666 | Michael Danial Dmd Inc 1233 E. 4th Streer , Unit A Ontario CA 91764-2560 Ph: (909) 988-8666 |
| NPI Number | 1093193302 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 08/21/2015 |
| Medicare PECOS PAC ID | 7517386196 |
|---|---|
| Medicare Enrollment ID | O20200930003674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093193302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55465 (California) | Primary |
| Provider Name | Michael Danial |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023032430 PECOS PAC ID: 8426477001 Enrollment ID: I20200930003684 |
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