| |
2082 Foothill Blvd La Verne CA 91750-3559 | |
(909) 596-5959 | |
(562) 381-9150 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 2082 Foothill Blvd, La Verne, California |
Authorized Official Name and Position | Cristina Gonzalez (BILLER) |
Authorized Official Contact | 5629253735 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9426 Somerset Blvd Bellflower CA 90706-3009 Ph: (562) 925-3735 | 2082 Foothill Blvd La Verne CA 91750-3559 Ph: (909) 596-5959 |
NPI Number | 1619464609 |
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Provider Enumeration Date | 04/16/2018 |
Last Update Date | 04/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619464609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Inland Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 Foothill Blvd, La Verne, CA 91750 Phone: 909-596-6551 | |
Inland Dental Group Of Hemant V. Patel Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 Foothill Blvd, La Verne, CA 91750 Phone: 909-596-6551 Fax: 909-596-0925 | |
Nigoghosian Dental Group Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2488 Foothill Blvd Ste C, La Verne, CA 91750 Phone: 909-596-1155 | |