| Nu Dental | |
|
2420 S Azusa Ave West Covina CA 91792-1512 | |
| (626) 810-2691 | |
| Not Available |
| Full Name | Nu Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2420 S Azusa Ave, West Covina, California |
| Authorized Official Name and Position | Kiatkachorn Ratanatharathorn (PRESIDENT) |
| Authorized Official Contact | 3123755671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nu Dental 2420 S Azusa Ave West Covina CA 91792-1512 Ph: () - | Nu Dental 2420 S Azusa Ave West Covina CA 91792-1512 Ph: (626) 810-2691 |
| NPI Number | 1891402079 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 10/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891402079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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