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4648 Riverside Drive Chino CA 91710-3926 | |
| (909) 628-6701 | |
| (909) 628-6704 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4648 Riverside Drive, Chino, California |
| Authorized Official Name and Position | Ricardo A Alpez (DENTIST/OWNER) |
| Authorized Official Contact | 9095737670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4648 Riverside Drive Chino CA 91710-3926 Ph: (909) 628-6701 | 4648 Riverside Drive Chino CA 91710-3926 Ph: (909) 628-6701 |
| NPI Number | 1962517599 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 11/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962517599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40911 (California) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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