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1222 Magnolia Ave Ste 101 Corona CA 92881-2075 | |
| (951) 582-3432 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1222 Magnolia Ave Ste 101, Corona, California |
| Authorized Official Name and Position | William Chiueh (CEO) |
| Authorized Official Contact | 9515823432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1222 Magnolia Ave Ste 101 Corona CA 92881-2075 Ph: (951) 582-3432 | 1222 Magnolia Ave Ste 101 Corona CA 92881-2075 Ph: (951) 582-3432 |
| NPI Number | 1134826118 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134826118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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