| Foothill Family Dental Group | |
|
210 S Grand Ave Suite 420 Glendora CA 91741-4205 | |
| (626) 963-3322 | |
| (626) 963-3399 |
| Full Name | Foothill Family Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 210 S Grand Ave, Glendora, California |
| Authorized Official Name and Position | Reema Arnouk (DOCTOR OWNER) |
| Authorized Official Contact | 6269633322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Family Dental Group 210 S Grand Ave Suite 420 Glendora CA 91741-4205 Ph: (626) 963-3322 | Foothill Family Dental Group 210 S Grand Ave Suite 420 Glendora CA 91741-4205 Ph: (626) 963-3322 |
| NPI Number | 1013357300 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/01/2013 |
| Medicare PECOS PAC ID | 7214343540 |
|---|---|
| Medicare Enrollment ID | O20210310001888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013357300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41655 (California) | Primary |
| Provider Name | Reema M Arnouk |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316282981 PECOS PAC ID: 9032525365 Enrollment ID: I20210310001974 |
| Provider Name | Mariam Claire Arnouk |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740684562 PECOS PAC ID: 0345656336 Enrollment ID: I20210317002241 |
| Provider Name | Yara Cathrina Arnouk |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790358968 PECOS PAC ID: 7911395868 Enrollment ID: I20211026000501 |
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