| Pediatric Dentistry Of Redlands | |
|
1481 Ford St Suite 101 Redlands CA 92373-3916 | |
| (909) 793-4326 | |
| (909) 793-4339 |
| Full Name | Pediatric Dentistry Of Redlands |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1481 Ford St, Redlands, California |
| Authorized Official Name and Position | Cameron Edward Fuller (OWNER) |
| Authorized Official Contact | 9097934326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Redlands 1481 Ford St Suite 101 Redlands CA 92373-3916 Ph: (909) 793-4326 | Pediatric Dentistry Of Redlands 1481 Ford St Suite 101 Redlands CA 92373-3916 Ph: (909) 793-4326 |
| NPI Number | 1598011793 |
|---|---|
| Provider Enumeration Date | 07/25/2012 |
| Last Update Date | 07/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598011793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 55344 (California) | Primary |
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