| Corona Endodontic Group | |
|
1810 Fullerton Avenue S # 106 Corona CA 92881 | |
| (951) 898-2050 | |
| (951) 898-7576 |
| Full Name | Corona Endodontic Group |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1810 Fullerton Avenue, Corona, California |
| Authorized Official Name and Position | Paul N T Nguyen (OWNER) |
| Authorized Official Contact | 9518982050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Endodontic Group 1810 Fullerton Avenue S # 106 Corona CA 92881 Ph: (951) 898-2050 | Corona Endodontic Group 1810 Fullerton Avenue S # 106 Corona CA 92881 Ph: (951) 898-2050 |
| NPI Number | 1902938376 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902938376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 44969 (California) | Primary |
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