| Inland Dental Group | |
|
1131 Foothill Blvd La Verne CA 91750 | |
| (909) 596-6551 | |
| Not Available |
| Full Name | Inland Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1131 Foothill Blvd, La Verne, California |
| Authorized Official Name and Position | Derick Pham (CO-OWNER) |
| Authorized Official Contact | 9095966551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Dental Group 1131 Foothill Blvd La Verne CA 91750 Ph: (909) 596-6551 | Inland Dental Group 1131 Foothill Blvd La Verne CA 91750 Ph: (909) 596-6551 |
| NPI Number | 1215705678 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215705678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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