| Tadha Dental Corporation | |
|
17643 Valley Blvd Suite B Bloomington CA 92316-3905 | |
| (909) 877-0650 | |
| Not Available |
| Full Name | Tadha Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17643 Valley Blvd, Bloomington, California |
| Authorized Official Name and Position | Alpesh K Patel (DENTIST) |
| Authorized Official Contact | 9098770650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tadha Dental Corporation 17643 Valley Blvd Suite B Bloomington CA 92316-3905 Ph: (909) 877-0650 | Tadha Dental Corporation 17643 Valley Blvd Suite B Bloomington CA 92316-3905 Ph: (909) 877-0650 |
| NPI Number | 1326168279 |
|---|---|
| Provider Enumeration Date | 04/01/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326168279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50810 (California) | Primary |
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