| Aesthetic Dental Group Inc | |
|
415 W Route 66 Ste 201 Glendora CA 91740-4335 | |
| (626) 914-0020 | |
| (626) 914-0023 |
| Full Name | Aesthetic Dental Group Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 415 W Route 66 Ste 201, Glendora, California |
| Authorized Official Name and Position | William J Rouhana (DENTIST) |
| Authorized Official Contact | 6269140020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Dental Group Inc 415 W Route 66 Ste 201 Glendora CA 91740-4335 Ph: (626) 914-0020 | Aesthetic Dental Group Inc 415 W Route 66 Ste 201 Glendora CA 91740-4335 Ph: (626) 914-0020 |
| NPI Number | 1629637376 |
|---|---|
| Provider Enumeration Date | 06/06/2019 |
| Last Update Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629637376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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