| |
810 E Alosta Ave Azusa CA 91702-2706 | |
(626) 804-2144 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 810 E Alosta Ave, Azusa, California |
Authorized Official Name and Position | Lorilee Schmidt (PRESIDENT) |
Authorized Official Contact | 7145786358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Spectrum Center Drive Suite 1500 Irvine CA 92618-2706 Ph: (714) 578-6358 | 810 E Alosta Ave Azusa CA 91702-2706 Ph: (626) 804-2144 |
NPI Number | 1487968707 |
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Provider Enumeration Date | 07/28/2010 |
Last Update Date | 10/06/2017 |
Identifier | Type | State | Issuer |
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1487968707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
James D. Ahn, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Gladstone St, Azusa, CA 91702 Phone: 626-969-6728 | |
Vigliarolo Chen Canlas Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N Citrus Ave Ste A, Azusa, CA 91702 Phone: 626-804-7715 Fax: 626-507-6315 | |