| Comfort Care Dental | |
|
11458 Kenyon Way Suite 120 Rancho Cucamonga CA 91701-9219 | |
| (909) 941-2811 | |
| (909) 941-7271 |
| Full Name | Comfort Care Dental |
|---|---|
| Speciality | Dentist |
| Location | 11458 Kenyon Way, Rancho Cucamonga, California |
| Authorized Official Name and Position | Brien Hsu (OWNER) |
| Authorized Official Contact | 9099412811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Care Dental 11458 Kenyon Way Suite 120 Rancho Cucamonga CA 91701-9219 Ph: (909) 941-2811 | Comfort Care Dental 11458 Kenyon Way Suite 120 Rancho Cucamonga CA 91701-9219 Ph: (909) 941-2811 |
| NPI Number | 1174915664 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 02/20/2015 |
| Medicare PECOS PAC ID | 7214242510 |
|---|---|
| Medicare Enrollment ID | O20150815000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174915664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47485 (California) | Primary |
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