| Puente Hills Dental Group | |
|
1850 S Azusa Ave Ste 202 Hacienda Heights CA 91745-6853 | |
| (626) 854-9530 | |
| Not Available |
| Full Name | Puente Hills Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1850 S Azusa Ave Ste 202, Hacienda Heights, California |
| Authorized Official Name and Position | Evangelos Rossopoulos (OWNER) |
| Authorized Official Contact | 6268549530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puente Hills Dental Group 1850 S Azusa Ave Ste 202 Hacienda Heights CA 91745-6853 Ph: (626) 854-9530 | Puente Hills Dental Group 1850 S Azusa Ave Ste 202 Hacienda Heights CA 91745-6853 Ph: (626) 854-9530 |
| NPI Number | 1467642280 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 07/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467642280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 31027 (California) | Primary |
| 1223P0700X | Dentist - Prosthodontics | 36605 (California) | Secondary |
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