| Canam Dental | |
|
9610 Sierra Ave Suite 200 Fontana CA 92335 | |
| (909) 219-8700 | |
| Not Available |
| Full Name | Canam Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9610 Sierra Ave, Fontana, California |
| Authorized Official Name and Position | Peter Stathakis (STAFF) |
| Authorized Official Contact | 3122744546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canam Dental 9610 Sierra Ave Suite 200 Fontana CA 92335 Ph: () - | Canam Dental 9610 Sierra Ave Suite 200 Fontana CA 92335 Ph: (909) 219-8700 |
| NPI Number | 1033847520 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033847520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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