| Teeth 'r' Us Children's Dentistry | |
|
660 N Diamond Bar Blvd Ste 288 Diamond Bar CA 91765-1008 | |
| (909) 396-0107 | |
| (909) 396-0094 |
| Full Name | Teeth 'r' Us Children's Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 660 N Diamond Bar Blvd, Diamond Bar, California |
| Authorized Official Name and Position | Andriani Ongkorahardjo (OWNER) |
| Authorized Official Contact | 9093960107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teeth 'r' Us Children's Dentistry 660 N Diamond Bar Blvd Ste 288 Diamond Bar CA 91765-1008 Ph: (909) 396-0107 | Teeth 'r' Us Children's Dentistry 660 N Diamond Bar Blvd Ste 288 Diamond Bar CA 91765-1008 Ph: (909) 396-0107 |
| NPI Number | 1063803054 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063803054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 46120 (California) | Primary |
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