| California Smile Institute | |
|
1060 W Foothill Blvd Upland CA 91786-3730 | |
| (909) 373-4600 | |
| (909) 373-4900 |
| Full Name | California Smile Institute |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1060 W Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Fernando M Munguia (PRESIDENT) |
| Authorized Official Contact | 9093734600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Smile Institute 1060 W Foothill Blvd Upland CA 91786-3730 Ph: (909) 373-4600 | California Smile Institute 1060 W Foothill Blvd Upland CA 91786-3730 Ph: (909) 373-4600 |
| NPI Number | 1598973810 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598973810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 42578 (California) | Primary |
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