Smile Premier A Dental Hygiene Practice Of Elizabeth Brutus Rdhap Cor | |
2623 S Andrews Ln San Bernardino CA 92408-4191 | |
(909) 648-1985 | |
Not Available |
Full Name | Smile Premier A Dental Hygiene Practice Of Elizabeth Brutus Rdhap Cor |
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Speciality | Clinic/center - Dental |
Location | 2623 S Andrews Ln, San Bernardino, California |
Authorized Official Name and Position | Elizabeth Brutus (CEO) |
Authorized Official Contact | 9096481985 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Premier A Dental Hygiene Practice Of Elizabeth Brutus Rdhap Cor 2623 S Andrews Ln San Bernardino CA 92408-4191 Ph: (909) 648-1985 | Smile Premier A Dental Hygiene Practice Of Elizabeth Brutus Rdhap Cor 2623 S Andrews Ln San Bernardino CA 92408-4191 Ph: (909) 648-1985 |
NPI Number | 1861094971 |
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Provider Enumeration Date | 11/12/2020 |
Last Update Date | 11/12/2020 |
Identifier | Type | State | Issuer |
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1861094971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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