San Gabriel Dental Group | |
6909 Rosemead Blvd San Gabriel CA 91775-1412 | |
(626) 799-8068 | |
Not Available |
Full Name | San Gabriel Dental Group |
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Speciality | Dentist - General Practice |
Location | 6909 Rosemead Blvd, San Gabriel, California |
Authorized Official Name and Position | Wayman Chan (PRESIDENT) |
Authorized Official Contact | 4158192877 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Gabriel Dental Group 6909 Rosemead Blvd San Gabriel CA 91775-1412 Ph: () - | San Gabriel Dental Group 6909 Rosemead Blvd San Gabriel CA 91775-1412 Ph: (626) 799-8068 |
NPI Number | 1952599359 |
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Provider Enumeration Date | 10/10/2007 |
Last Update Date | 10/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952599359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 53581 (California) | Primary |
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