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12194 Central Ave Chino CA 91710-2420 | |
| (909) 591-0316 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12194 Central Ave, Chino, California |
| Authorized Official Name and Position | Ronald Abaro (OWNER DENTIST) |
| Authorized Official Contact | 9095910316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12194 Central Ave Chino CA 91710-2420 Ph: (909) 591-0316 | 12194 Central Ave Chino CA 91710-2420 Ph: (909) 591-0316 |
| NPI Number | 1023495876 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023495876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49721 (California) | Primary |
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