| Smileneeds Dental | |
|
1183 E Foothill Blvd Suite150 Upland CA 91786-4079 | |
| (909) 466-1245 | |
| (909) 912-8245 |
| Full Name | Smileneeds Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1183 E Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Mariano Castro (OWNER) |
| Authorized Official Contact | 9064661245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smileneeds Dental 1183 E Foothill Blvd Suite150 Upland CA 91786-4079 Ph: (909) 466-1245 | Smileneeds Dental 1183 E Foothill Blvd Suite150 Upland CA 91786-4079 Ph: (909) 466-1245 |
| NPI Number | 1528250412 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528250412 | NPI | - | NPPES |
| D43911-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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