| Upland Smile Center | |
|
1125 E 16th St Ste 6 Upland CA 91784-9180 | |
| (909) 946-8441 | |
| Not Available |
| Full Name | Upland Smile Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1125 E 16th St Ste 6, Upland, California |
| Authorized Official Name and Position | Theresa M. Ramos (CEO) |
| Authorized Official Contact | 9099468441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upland Smile Center 1125 E 16th St Ste 6 Upland CA 91784-9180 Ph: (909) 946-8441 | Upland Smile Center 1125 E 16th St Ste 6 Upland CA 91784-9180 Ph: (909) 946-8441 |
| NPI Number | 1609018100 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609018100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41471 (California) | Primary |
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