| Grand Family Dental Office | |
|
1434 S Grand Ave Glendora CA 91740-5400 | |
| (626) 335-7989 | |
| (626) 335-2089 |
| Full Name | Grand Family Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 1434 S Grand Ave, Glendora, California |
| Authorized Official Name and Position | Iftikhar Ali Khan (PRESIDENT) |
| Authorized Official Contact | 6263357989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Family Dental Office 1434 S Grand Ave Glendora CA 91740-5400 Ph: (626) 335-7989 | Grand Family Dental Office 1434 S Grand Ave Glendora CA 91740-5400 Ph: (626) 335-7989 |
| NPI Number | 1114063112 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114063112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28584 (California) | Primary |
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