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4160 E Highland Ave Ste J Highland CA 92346-2750 | |
| (312) 274-4546 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4160 E Highland Ave Ste J, Highland, California |
| Authorized Official Name and Position | Peter Stathakis (CREDENTIALING) |
| Authorized Official Contact | 3122744546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
350 N Clark St Ste 600 Chicago IL 60654-4782 Ph: (312) 274-4581 | 4160 E Highland Ave Ste J Highland CA 92346-2750 Ph: (312) 274-4546 |
| NPI Number | 1518610617 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518610617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Marjorie A Ramos Dmd A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 Highland Ave Ste 6-c, Highland, CA 92346 Phone: 909-425-2700 Fax: 909-425-2727 | |
Highland Village Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7291 Boulder Ave Ste 2b, Highland, CA 92346 Phone: 909-425-8980 Fax: 909-425-2684 | |