| Chapman Smiles Center | |
|
9448 Magnolia Ave Riverside CA 92503-3700 | |
| (951) 343-0123 | |
| (714) 984-0246 |
| Full Name | Chapman Smiles Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9448 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Mathew T Luu (DENTIST) |
| Authorized Official Contact | 7142614243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chapman Smiles Center 2140 W Chapman Ave Ste 107 Orange CA 92868-2331 Ph: (714) 829-5489 | Chapman Smiles Center 9448 Magnolia Ave Riverside CA 92503-3700 Ph: (951) 343-0123 |
| NPI Number | 1689183907 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 09/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689183907 | NPI | - | NPPES |
| G9363301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49141 (California) | Primary |
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