| Smile Haven Dental | |
|
10399 Foothill Blvd Suite 101-a Rancho Cucamonga CA 91730-6956 | |
| (909) 481-7317 | |
| (909) 481-7319 |
| Full Name | Smile Haven Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10399 Foothill Blvd, Rancho Cucamonga, California |
| Authorized Official Name and Position | Lawrence M Cheng (OWNER) |
| Authorized Official Contact | 9094817317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Haven Dental 10399 Foothill Blvd Suite 101-a Rancho Cucamonga CA 91730-6956 Ph: (909) 481-7317 | Smile Haven Dental 10399 Foothill Blvd Suite 101-a Rancho Cucamonga CA 91730-6956 Ph: (909) 481-7317 |
| NPI Number | 1710146154 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710146154 | NPI | - | NPPES |
| B44577-07 | Other | CA | DELTA DENTAL HEALTHY FAMILIES |
| 1245427582 | Other | UNITED CONCORDIA | |
| 344577 | Other | CA | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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