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1755 S Mountain Ave Ste. A Ontario CA 91762-5972 | |
| (909) 460-7776 | |
| (909) 460-7677 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1755 S Mountain Ave, Ontario, California |
| Authorized Official Name and Position | Princesita Asuncion Billedo (PRESIDENT) |
| Authorized Official Contact | 9094607776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1755 S Mountain Ave Ste. A Ontario CA 91762-5972 Ph: (909) 460-7776 | 1755 S Mountain Ave Ste. A Ontario CA 91762-5972 Ph: (909) 460-7776 |
| NPI Number | 1376722595 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376722595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43420 (California) | Primary |
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