| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1919 1st St, Norco, California |
| Authorized Official Name and Position | Quynh N Tran (OWNER) |
| Authorized Official Contact | 9513720775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1919 1st St Norco CA 92860-3140 Ph: (951) 372-0775 | 1919 1st St Norco CA 92860-3140 Ph: (951) 372-0775 |
| NPI Number | 1427684034 |
|---|---|
| Provider Enumeration Date | 03/14/2020 |
| Last Update Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427684034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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