| American Dental Care | |
|
14311 Ramona Blvd Baldwin Park CA 91706-3242 | |
| (626) 960-9440 | |
| (626) 960-5772 |
| Full Name | American Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14311 Ramona Blvd, Baldwin Park, California |
| Authorized Official Name and Position | Morris De Leon (PRESIDENT) |
| Authorized Official Contact | 6264880542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Dental Care 14311 Ramona Blvd Baldwin Park CA 91706-3242 Ph: (626) 960-9440 | American Dental Care 14311 Ramona Blvd Baldwin Park CA 91706-3242 Ph: (626) 960-9440 |
| NPI Number | 1053861070 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053861070 | NPI | - | NPPES |
| 1164713806 | Other | NPI INDIVIDUAL | |
| 60332 | Other | CA | DENTAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60332 (California) | Primary |
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