| Fontana Modern Dentistry, Inc | |
|
10189 Citrus Ave Suite B Fontana CA 92335 | |
| (909) 657-2736 | |
| Not Available |
| Full Name | Fontana Modern Dentistry, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10189 Citrus Ave, Fontana, California |
| Authorized Official Name and Position | Jason Sun (OWNER) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fontana Modern Dentistry, Inc Po Box 660041 Dallas TX 75266-0041 Ph: () - | Fontana Modern Dentistry, Inc 10189 Citrus Ave Suite B Fontana CA 92335 Ph: (909) 657-2736 |
| NPI Number | 1730974007 |
|---|---|
| Provider Enumeration Date | 04/09/2025 |
| Last Update Date | 04/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730974007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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