| Feldkamp Cal Select Dental Group, Inc. | |
|
8325 Haven Ave Ste 120 Rancho Cucamonga CA 91730-3894 | |
| (909) 332-6980 | |
| Not Available |
| Full Name | Feldkamp Cal Select Dental Group, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8325 Haven Ave Ste 120, Rancho Cucamonga, California |
| Authorized Official Name and Position | Irving Moore Feldkamp Iii (OWNER) |
| Authorized Official Contact | 9093326980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Feldkamp Cal Select Dental Group, Inc. Po Box 10669 San Bernardino CA 92423-0669 Ph: () - | Feldkamp Cal Select Dental Group, Inc. 8325 Haven Ave Ste 120 Rancho Cucamonga CA 91730-3894 Ph: (909) 332-6980 |
| NPI Number | 1427675412 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427675412 | NPI | - | NPPES |
| 1982016838 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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