| Trinity Dental Care | |
|
19665 Valley Blvd Walnut CA 91789-2125 | |
| (909) 598-8820 | |
| Not Available |
| Full Name | Trinity Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19665 Valley Blvd, Walnut, California |
| Authorized Official Name and Position | Liza M Manese (CEO/OWNER) |
| Authorized Official Contact | 9095988820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Dental Care 19665 Valley Blvd Walnut CA 91789-2125 Ph: (909) 598-8820 | Trinity Dental Care 19665 Valley Blvd Walnut CA 91789-2125 Ph: (909) 598-8820 |
| NPI Number | 1114306842 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114306842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 35148 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 40669 (California) | Secondary |
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