Sierra Dental Group | |
11201 Sierra Ave Suite 1f Fortana CA 92337 | |
(909) 355-3299 | |
(951) 355-3944 |
Full Name | Sierra Dental Group |
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Speciality | Dentist |
Location | 11201 Sierra Ave, Fortana, California |
Authorized Official Name and Position | Sang Churl Paik (OWNER DENTIST) |
Authorized Official Contact | 9093553299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sierra Dental Group 11201 Sierra Ave Suite 1f Fortana CA 92337 Ph: (909) 355-3299 | Sierra Dental Group 11201 Sierra Ave Suite 1f Fortana CA 92337 Ph: (909) 355-3299 |
NPI Number | 1740406784 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740406784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 41861 (California) | Primary |