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12027 Central Ave Chino CA 91710-1908 | |
(909) 270-4291 | |
Not Available |
Full Name | |
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Speciality | Dentist - Dental Public Health |
Location | 12027 Central Ave, Chino, 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 Dr Ste 1500 Irvine CA 92618-4984 Ph: (714) 578-6358 | 12027 Central Ave Chino CA 91710-1908 Ph: (909) 270-4291 |
NPI Number | 1730548587 |
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Provider Enumeration Date | 02/22/2016 |
Last Update Date | 10/09/2017 |
Identifier | Type | State | Issuer |
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1730548587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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