| Highland Family Dentistry | |
|
3606 Highland Ave Ste 101 Highland CA 92346-2603 | |
| (909) 425-2500 | |
| Not Available |
| Full Name | Highland Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3606 Highland Ave, Highland, California |
| Authorized Official Name and Position | Wayne Shyh Chiu (CEO) |
| Authorized Official Contact | 9094252500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Family Dentistry 3606 Highland Ave Ste 101 Highland CA 92346-2603 Ph: (909) 425-2500 | Highland Family Dentistry 3606 Highland Ave Ste 101 Highland CA 92346-2603 Ph: (909) 425-2500 |
| NPI Number | 1508065533 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 11/02/2015 |
| Medicare PECOS PAC ID | 2860789898 |
|---|---|
| Medicare Enrollment ID | O20160920000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508065533 | NPI | - | NPPES |
| G93178-01 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46370 (California) | Primary |
| Provider Name | Wayne Shyh Chiu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174619803 PECOS PAC ID: 3779870704 Enrollment ID: I20160920000424 |
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