|
| |
|
4565 N Peck Road El Monte CA 91732 | |
| (626) 350-3295 | |
| (626) 350-3371 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4565 N Peck Road, El Monte, California |
| Authorized Official Name and Position | Nonato H Elazegui (PRESIDENT) |
| Authorized Official Contact | 6263503295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4565 N Peck Road El Monte CA 91732 Ph: (626) 350-3295 | 4565 N Peck Road El Monte CA 91732 Ph: (626) 350-3295 |
| NPI Number | 1649325820 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649325820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Gutierrez Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 E Valley Blvd, Ste 112, El Monte, CA 91732 Phone: 626-443-7929 Fax: 626-443-4871 | |
Wan Yi Chu & Chao Kuei Chen Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10990 Lower Azusa Rd, #6, El Monte, CA 91731 Phone: 626-448-4288 Fax: 626-448-1978 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11450 Valley Blvd, El Monte, CA 91731 Phone: 626-575-5850 Fax: 626-443-6410 | |