Redlands Dental Associates | |
860 W Redlands Blvd # 105 Redlands CA 92373-8010 | |
(909) 793-5270 | |
(909) 793-7679 |
Full Name | Redlands Dental Associates |
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Speciality | Dentist - General Practice |
Location | 860 W Redlands Blvd # 105, Redlands, California |
Authorized Official Name and Position | Elena A Kogan (DENTIST/OWNER) |
Authorized Official Contact | 9097935270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Redlands Dental Associates 860 W Redlands Blvd # 105 Redlands CA 92373-8010 Ph: (909) 793-5270 | Redlands Dental Associates 860 W Redlands Blvd # 105 Redlands CA 92373-8010 Ph: (909) 793-5270 |
NPI Number | 1609036706 |
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Provider Enumeration Date | 06/11/2008 |
Last Update Date | 06/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609036706 | NPI | - | NPPES |
G8948701 | Other | CA | DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 49427 (California) | Primary |
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