| Phyllis K. Kawada, Dds, Ms, A Professional Corporation | |
|
15944 Los Serranos Country Club Dr Ste 100 Chino Hills CA 91709-3254 | |
| (909) 393-3311 | |
| (909) 393-3343 |
| Full Name | Phyllis K. Kawada, Dds, Ms, A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15944 Los Serranos Country Club Dr Ste 100, Chino Hills, California |
| Authorized Official Name and Position | Phyllis Kazumi Kawada (PRESIDENT/OWNER) |
| Authorized Official Contact | 5626903750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis K. Kawada, Dds, Ms, A Professional Corporation 15944 Los Serranos Country Club Dr Ste 100 Chino Hills CA 91709-3254 Ph: (909) 393-3311 | Phyllis K. Kawada, Dds, Ms, A Professional Corporation 15944 Los Serranos Country Club Dr Ste 100 Chino Hills CA 91709-3254 Ph: (909) 393-3311 |
| NPI Number | 1639653009 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639653009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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