|
| |
|
1727 N. Riverside Ave. Rialto CA 92376-8062 | |
| (909) 961-2068 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1727 N. Riverside Ave., Rialto, California |
| Authorized Official Name and Position | David C. Jen (PRESIDENT) |
| Authorized Official Contact | 6263186318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1727 N. Riverside Ave. Rialto CA 92376-8062 Ph: (626) 318-6318 | 1727 N. Riverside Ave. Rialto CA 92376-8062 Ph: (909) 961-2068 |
| NPI Number | 1508264326 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508264326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 36159 (California) | Primary |
Patricia Ann Pompa, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 N Riverside Ave, Rialto, CA 92376 Phone: 909-874-3210 Fax: 909-874-3802 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 W. Foothill Blvd., Rialto, CA 92376 Phone: 909-546-1366 Fax: 909-820-7561 | |