| Smile360 Family Dentistry | |
|
9778 19th St Rancho Cucamonga CA 91737-3538 | |
| (909) 980-4878 | |
| Not Available |
| Full Name | Smile360 Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9778 19th St, Rancho Cucamonga, California |
| Authorized Official Name and Position | Niraj Shah (OWNER DENTIST) |
| Authorized Official Contact | 9099804878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile360 Family Dentistry 9778 19th St Rancho Cucamonga CA 91737-3538 Ph: (909) 980-4878 | Smile360 Family Dentistry 9778 19th St Rancho Cucamonga CA 91737-3538 Ph: (909) 980-4878 |
| NPI Number | 1326690173 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 10/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326690173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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