| Community Dental Services | |
|
12171 Central Ave Chino CA 91710-2421 | |
| (909) 628-0208 | |
| Not Available |
| Full Name | Community Dental Services |
|---|---|
| Speciality | Dentist |
| Location | 12171 Central Ave, Chino, California |
| Authorized Official Name and Position | Elaine Salcido (CONTRACT SUPERVISOR) |
| Authorized Official Contact | 7147085308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Services 2 Macarthur Pl Suite 700 Santa Ana CA 92707-5924 Ph: (714) 708-5308 | Community Dental Services 12171 Central Ave Chino CA 91710-2421 Ph: (909) 628-0208 |
| NPI Number | 1730414954 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 10/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730414954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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