| Carmy Michael, Dds Corp. | |
|
1817 N Riverside Ave Rialto CA 92376-8069 | |
| (909) 879-1024 | |
| Not Available |
| Full Name | Carmy Michael, Dds Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1817 N Riverside Ave, Rialto, California |
| Authorized Official Name and Position | Carmy Gabriel Michael (CEO) |
| Authorized Official Contact | 7148746069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmy Michael, Dds Corp. 1817 N Riverside Ave Rialto CA 92376-8069 Ph: (909) 879-1024 | Carmy Michael, Dds Corp. 1817 N Riverside Ave Rialto CA 92376-8069 Ph: (909) 879-1024 |
| NPI Number | 1376021576 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376021576 | NPI | - | NPPES |
| 1730216599 | Medicaid | MI | |
| 12-4767679 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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