| Healthy Smile Dental Practice | |
|
16147 Foothill Blvd Ste A Fontana CA 92335-3374 | |
| (909) 251-4721 | |
| (909) 251-4186 |
| Full Name | Healthy Smile Dental Practice |
|---|---|
| Speciality | Dentist |
| Location | 16147 Foothill Blvd Ste A, Fontana, California |
| Authorized Official Name and Position | Maria Virginia Bravo-espinoza (DENTIST) |
| Authorized Official Contact | 9092514721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smile Dental Practice 16147 Foothill Blvd Ste A Fontana CA 92335-3374 Ph: (909) 251-4721 | Healthy Smile Dental Practice 16147 Foothill Blvd Ste A Fontana CA 92335-3374 Ph: (909) 251-4721 |
| NPI Number | 1083958961 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 02/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083958961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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