| Tena Dental Corporation | |
|
525 S Azusa Way La Puente CA 91744-5113 | |
| (626) 810-0045 | |
| Not Available |
| Full Name | Tena Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 525 S Azusa Way, La Puente, California |
| Authorized Official Name and Position | Ernersto M Tena (OWNER) |
| Authorized Official Contact | 6268100045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tena Dental Corporation 525 S Azusa Way La Puente CA 91744-5113 Ph: (626) 810-0045 | Tena Dental Corporation 525 S Azusa Way La Puente CA 91744-5113 Ph: (626) 810-0045 |
| NPI Number | 1194909002 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194909002 | NPI | - | NPPES |
| G93496-02 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48389 (California) | Primary |
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