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2705 S Diamond Bar Blvd #308 Diamond Bar CA 91765-3512 | |
| (951) 660-8801 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2705 S Diamond Bar Blvd, Diamond Bar, California |
| Authorized Official Name and Position | Yu Wei Ashley Chou (CEO) |
| Authorized Official Contact | 9516608801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1517 Silver Ln Diamond Bar CA 91765-4037 Ph: () - | 2705 S Diamond Bar Blvd #308 Diamond Bar CA 91765-3512 Ph: (951) 660-8801 |
| NPI Number | 1336498617 |
|---|---|
| Provider Enumeration Date | 09/02/2012 |
| Last Update Date | 09/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336498617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 50046 (California) | Primary |
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