| Foothill Center for Dental Implants and Oral Surgery | |
|
212 S El Molino Ave Pasadena CA 91101-6501 | |
| (626) 792-3161 | |
| (626) 792-9442 |
| Full Name | Foothill Center for Dental Implants and Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 212 S El Molino Ave, Pasadena, California |
| Authorized Official Name and Position | Christopher Chan (PRESIDENT) |
| Authorized Official Contact | 3108869863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Center for Dental Implants and Oral Surgery 212 S El Molino Ave Pasadena CA 91101-6501 Ph: (626) 792-3161 | Foothill Center for Dental Implants and Oral Surgery 212 S El Molino Ave Pasadena CA 91101-6501 Ph: (626) 792-3161 |
| NPI Number | 1255074381 |
|---|---|
| Provider Enumeration Date | 04/17/2022 |
| Last Update Date | 04/17/2022 |
| Certification Date | 04/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255074381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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