| Dental Associates Of Colton And Dental Associates Of Pomona | |
|
1080 E Washington St Suite B Colton CA 92324 | |
| (909) 783-9099 | |
| (909) 824-1677 |
| Full Name | Dental Associates Of Colton And Dental Associates Of Pomona |
|---|---|
| Speciality | Dentist |
| Location | 1080 E Washington St, Colton, California |
| Authorized Official Name and Position | Mavern S Suprono (PRESIDENT) |
| Authorized Official Contact | 9097839099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of Colton And Dental Associates Of Pomona Po Box 903 Loma Linda CA 92354 Ph: (909) 783-9099 | Dental Associates Of Colton And Dental Associates Of Pomona 1080 E Washington St Suite B Colton CA 92324 Ph: (909) 783-9099 |
| NPI Number | 1477622165 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477622165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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