| Dental Practice Of San Bernardino | |
|
322 N H St San Bernardino CA 92410-3224 | |
| (909) 888-1301 | |
| (909) 884-4697 |
| Full Name | Dental Practice Of San Bernardino |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 322 N H St, San Bernardino, California |
| Authorized Official Name and Position | Myron Lloyd Massey (PRESIDENT/OWNER) |
| Authorized Official Contact | 9097095657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Practice Of San Bernardino 322 N H St San Bernardino CA 92410-3224 Ph: (909) 888-1301 | Dental Practice Of San Bernardino 322 N H St San Bernardino CA 92410-3224 Ph: (909) 888-1301 |
| NPI Number | 1609390582 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609390582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 61417 (California) | Primary |
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