Dr Marie Beverly Dizon, DDS, MS | |
1516 Stardust Dr, West Covina, CA 91790-4558 | |
(626) 643-6911 | |
Not Available |
Full Name | Dr Marie Beverly Dizon |
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Gender | Female |
Speciality | Dentist - Pediatric Dentistry |
Location | 1516 Stardust Dr, West Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275989659 | NPI | - | NPPES |
63959 | Other | CA | CA DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 63959 (California) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 63959 (California) | Primary |
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Mailing Address | Practice Location Address |
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Dr Marie Beverly Dizon, DDS, MS 1516 Stardust Dr, West Covina, CA 91790-4558 Ph: (626) 643-6911 | Dr Marie Beverly Dizon, DDS, MS 1516 Stardust Dr, West Covina, CA 91790-4558 Ph: (626) 643-6911 |
Ricardo Andres Suarez, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 S Vincent Ave, Suite 404, West Covina, CA 91790 Phone: 626-919-4337 Fax: 626-919-2300 | |
Thai Thuy Ta, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1740 W Cameron Ave Ste 106, West Covina, CA 91790 Phone: 626-337-4440 | |
Dr. Dmitry Tubis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1710 W Cameron Ave Ste 100, West Covina, CA 91790 Phone: 626-962-4428 Fax: 626-962-9789 | |
Dr. Bhanumati Toprani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 626-919-4333 Fax: 626-919-8503 | |
Dr. Emmanuel Ferrer Magalong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1415 W Garvey Ave, #101, West Covina, CA 91790 Phone: 626-851-0020 Fax: 626-851-0035 | |
Maninder Singh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1312 W Francisquito Ave Suite D4, West Covina, CA 91790 Phone: 626-918-0171 Fax: 626-918-1173 | |
Wai Aung, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 154 Plaza Dr, West Covina, CA 91790 Phone: 626-962-1700 |