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2497 Foothill Blvd Ste E La Verne CA 91750-3066 | |
| (909) 451-0329 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2497 Foothill Blvd, La Verne, 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 |
|---|---|
100 Spectrum Center Drive Suite 1500 Irvine CA 92618-3066 Ph: (714) 578-6358 | 2497 Foothill Blvd Ste E La Verne CA 91750-3066 Ph: (909) 451-0329 |
| NPI Number | 1417213562 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 10/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417213562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Nigoghosian Dental Group Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2488 Foothill Blvd Ste C, La Verne, CA 91750 Phone: 909-596-1155 | |