| Rowland Heights Dental Center | |
|
4141 S. Nogales St. Suite B103 West Covina CA 91792-3057 | |
| (626) 935-5822 | |
| (626) 935-5622 |
| Full Name | Rowland Heights Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4141 S. Nogales St., West Covina, California |
| Authorized Official Name and Position | Jeremiah Jer Hjen Shaw (DENTIST) |
| Authorized Official Contact | 6269355822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowland Heights Dental Center 4141 S. Nogales St. Suite B103 West Covina CA 91792-3057 Ph: (626) 935-5822 | Rowland Heights Dental Center 4141 S. Nogales St. Suite B103 West Covina CA 91792-3057 Ph: (626) 935-5822 |
| NPI Number | 1427190271 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 03/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427190271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43296 (California) | Secondary |
| 122300000X | Dentist | 41867 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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