| Sacred Heart Dental Care | |
|
12802 Foothill Blvd Ste 103 Rancho Cucamonga CA 91739-9379 | |
| (909) 463-6646 | |
| (909) 463-6866 |
| Full Name | Sacred Heart Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 12802 Foothill Blvd Ste 103, Rancho Cucamonga, California |
| Authorized Official Name and Position | Luzviminda M Dayrit (OWNER / DENTIST) |
| Authorized Official Contact | 9094636646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Heart Dental Care 12802 Foothill Blvd Ste 103 Rancho Cucamonga CA 91739-9379 Ph: (909) 463-6646 | Sacred Heart Dental Care 12802 Foothill Blvd Ste 103 Rancho Cucamonga CA 91739-9379 Ph: (909) 463-6646 |
| NPI Number | 1386049815 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 05/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386049815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
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