| Cosmetic Micro Dentistry | |
|
9359 Central Ave Suite D1 Montclair CA 91763-2452 | |
| (909) 962-8828 | |
| Not Available |
| Full Name | Cosmetic Micro Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9359 Central Ave, Montclair, California |
| Authorized Official Name and Position | Quratulanne Muneer (DENTIST) |
| Authorized Official Contact | 9099628828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic Micro Dentistry 9359 Central Ave Suite D1 Montclair CA 91763-2452 Ph: (909) 962-8828 | Cosmetic Micro Dentistry 9359 Central Ave Suite D1 Montclair CA 91763-2452 Ph: (909) 962-8828 |
| NPI Number | 1023554144 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 09/06/2023 |
| Certification Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023554144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63420 (California) | Primary |
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