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7365 Carnelian St Ste 135 Rancho Cucamonga CA 91730-1100 | |
| (909) 944-7308 | |
| (909) 483-0813 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7365 Carnelian St Ste 135, Rancho Cucamonga, California |
| Authorized Official Name and Position | Ana Almazan (BILLING MANAGER) |
| Authorized Official Contact | 9099447308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7365 Carnelian St Ste 135 Rancho Cucamonga CA 91730-1100 Ph: (909) 944-7308 | 7365 Carnelian St Ste 135 Rancho Cucamonga CA 91730-1100 Ph: (909) 944-7308 |
| NPI Number | 1417471475 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 08/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417471475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 55014 (California) | Primary |
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