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6445 Pat's Ranch Road Ste G Mira Loma CA 91752 | |
(951) 808-5881 | |
(951) 278-9240 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 6445 Pat's Ranch Road, Mira Loma, California |
Authorized Official Name and Position | Deepika Dhama (OWNER DOCTOR) |
Authorized Official Contact | 9518085881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2860 Michelle Fl 2 Irvine CA 92606-1008 Ph: (714) 508-3600 | 6445 Pat's Ranch Road Ste G Mira Loma CA 91752 Ph: (951) 808-5881 |
NPI Number | 1003099425 |
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Provider Enumeration Date | 12/07/2007 |
Last Update Date | 12/07/2007 |
Identifier | Type | State | Issuer |
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1003099425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |