| Raymundo Dental Practice Inc | |
|
170 E Foothill Blvd Ste B Arcadia CA 91006-2569 | |
| (626) 359-4595 | |
| (626) 359-4596 |
| Full Name | Raymundo Dental Practice Inc |
|---|---|
| Speciality | Dentist |
| Location | 170 E Foothill Blvd Ste B, Arcadia, California |
| Authorized Official Name and Position | Ronalyn T. Raymundo (DENTIST, OWNER, PRESIDENT) |
| Authorized Official Contact | 6263594595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymundo Dental Practice Inc 170 E Foothill Blvd Ste B Arcadia CA 91006-2569 Ph: (626) 359-4595 | Raymundo Dental Practice Inc 170 E Foothill Blvd Ste B Arcadia CA 91006-2569 Ph: (626) 359-4595 |
| NPI Number | 1477857571 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477857571 | NPI | - | NPPES |
| B40194-01 | Medicaid | CA | |
| 833572 | Other | CA | UNITED CONCORDIA PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40194 (California) | Primary |
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