| Grove Marketplace Dental | |
|
1150 E Philadelphia St 110 Ontario CA 91761-5690 | |
| (909) 923-0999 | |
| (909) 923-0992 |
| Full Name | Grove Marketplace Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1150 E Philadelphia St, Ontario, California |
| Authorized Official Name and Position | Daniel Ton (OWNER) |
| Authorized Official Contact | 9099230999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Marketplace Dental 1150 E Philadelphia St 110 Ontario CA 91761-5690 Ph: (909) 923-0999 | Grove Marketplace Dental 1150 E Philadelphia St 110 Ontario CA 91761-5690 Ph: (909) 923-0999 |
| NPI Number | 1932379948 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932379948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52123 (California) | Primary |
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