| Na | |
|
8003 Alicante Ave Lamont CA 93241-1712 | |
| (661) 845-2246 | |
| (661) 845-2248 |
| Full Name | Na |
|---|---|
| Speciality | Dentist |
| Location | 8003 Alicante Ave, Lamont, California |
| Authorized Official Name and Position | Josie Melendrez (OFFICE MANAGER) |
| Authorized Official Contact | 6618452246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na 8003 Alicante Ave Lamont CA 93241-1712 Ph: (661) 845-2246 | Na 8003 Alicante Ave Lamont CA 93241-1712 Ph: (661) 845-2246 |
| NPI Number | 1063635068 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063635068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17937 (California) | Primary |
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Nicolas Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8003 Alicante Ave, Lamont, CA 93241 Phone: 714-906-9116 | |
Nicolas Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8003 Alicante Ave, Lamont, CA 93241 Phone: 661-845-2246 | |
Bouquet Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8003 Alicante Ave, Lamont, CA 93241 Phone: 661-845-2246 |