| Montclair Plaza Dental Group | |
|
8660 Central Ave Ste A Montclair CA 91763-1692 | |
| (909) 920-0696 | |
| (909) 920-0517 |
| Full Name | Montclair Plaza Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8660 Central Ave Ste A, Montclair, California |
| Authorized Official Name and Position | Sutheep Dave Srikureja (DENTIST) |
| Authorized Official Contact | 9099200696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montclair Plaza Dental Group 8660 Central Ave Ste A Montclair CA 91763-1692 Ph: (909) 920-0696 | Montclair Plaza Dental Group 8660 Central Ave Ste A Montclair CA 91763-1692 Ph: (909) 920-0696 |
| NPI Number | 1336734052 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336734052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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