| Mylad Dental Corporation | |
|
24119 Hemlock Ave Ste 108 Moreno Valley CA 92557-7221 | |
| (951) 220-6980 | |
| (951) 465-2634 |
| Full Name | Mylad Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24119 Hemlock Ave Ste 108, Moreno Valley, California |
| Authorized Official Name and Position | Botamena Mylad (OWNER) |
| Authorized Official Contact | 9512206980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mylad Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Mylad Dental Corporation 24119 Hemlock Ave Ste 108 Moreno Valley CA 92557-7221 Ph: (951) 220-6980 |
| NPI Number | 1215712906 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215712906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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