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7369 Day Creek Blvd Ste. F-103 Rancho Cucamonga CA 91739-8020 | |
| (909) 646-7902 | |
| (909) 646-7903 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7369 Day Creek Blvd, Rancho Cucamonga, California |
| Authorized Official Name and Position | Carolyn G Ghazal (OWNER DDS) |
| Authorized Official Contact | 9096467902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | 7369 Day Creek Blvd Ste. F-103 Rancho Cucamonga CA 91739-8020 Ph: (909) 646-7902 |
| NPI Number | 1629173547 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629173547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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