| Chloe Coo Lacson Dds Inc | |
|
12345 Mountain Ave Ste O Chino CA 91710-2783 | |
| (909) 364-1330 | |
| Not Available |
| Full Name | Chloe Coo Lacson Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12345 Mountain Ave Ste O, Chino, California |
| Authorized Official Name and Position | Chloe Catherine Coo Lacson (PRESIDENT) |
| Authorized Official Contact | 6262029746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chloe Coo Lacson Dds Inc 12345 Mountain Ave Ste O Chino CA 91710-2783 Ph: (909) 364-1330 | Chloe Coo Lacson Dds Inc 12345 Mountain Ave Ste O Chino CA 91710-2783 Ph: (909) 364-1330 |
| NPI Number | 1609649060 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609649060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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