| Supriya D Mhaskar A Dental Corp | |
|
5436 Riverside Dr Chino CA 91710 | |
| (909) 465-5551 | |
| (909) 465-5191 |
| Full Name | Supriya D Mhaskar A Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 5436 Riverside Dr, Chino, California |
| Authorized Official Name and Position | Supriya Dhananjaya Mhaskar (PRESIDENT) |
| Authorized Official Contact | 9094655551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supriya D Mhaskar A Dental Corp 5436 Riverside Dr Chino CA 91710-4206 Ph: (909) 465-5551 | Supriya D Mhaskar A Dental Corp 5436 Riverside Dr Chino CA 91710 Ph: (909) 465-5551 |
| NPI Number | 1316351794 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316351794 | NPI | - | NPPES |
| B40278-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40278 (California) | Primary |
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Softcare Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3686 Riverside Dr, Ste G, Chino, CA 91710 Phone: 909-591-1299 Fax: 909-591-5899 | |
Doc Chung Dental Group - Chino, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13197 Central Ave Ste 103, Chino, CA 91710 Phone: 909-627-8501 Fax: 909-627-1784 | |
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Grandview Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13768 Roswell Ave Ste 210, Chino, CA 91710 Phone: 909-591-1055 | |
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