| Smile Artistry Of Chino Valley | |
|
12850 10th St Ste B2 Chino CA 91710-4295 | |
| (909) 627-6699 | |
| (909) 627-6975 |
| Full Name | Smile Artistry Of Chino Valley |
|---|---|
| Speciality | Dentist |
| Location | 12850 10th St Ste B2, Chino, California |
| Authorized Official Name and Position | Vijaya Cherukuri (DENTIST/OWNER) |
| Authorized Official Contact | 9096276699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Artistry Of Chino Valley 12850 10th St Ste B2 Chino CA 91710-4295 Ph: (909) 627-6699 | Smile Artistry Of Chino Valley 12850 10th St Ste B2 Chino CA 91710-4295 Ph: (909) 627-6699 |
| NPI Number | 1295119444 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295119444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 034314 (California) | Primary |
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