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2707 E. Valley Blvd., Suite 200 West Covina CA 91792 | |
| (626) 964-4777 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2707 E. Valley Blvd., Suite 200, West Covina, California |
| Authorized Official Name and Position | Sarah Jane Dancel-atendido (PRESIDENT) |
| Authorized Official Contact | 6269644777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
882 Margaret Ln Walnut CA 91789 Ph: (626) 964-4777 | 2707 E. Valley Blvd., Suite 200 West Covina CA 91792 Ph: (626) 964-4777 |
| NPI Number | 1609051580 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609051580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46774 (California) | Primary |
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