| Sprout Pediatric Dentistry | |
|
925 W Foothill Blvd Ste C Monrovia CA 91016-1930 | |
| (626) 408-0800 | |
| Not Available |
| Full Name | Sprout Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 925 W Foothill Blvd Ste C, Monrovia, California |
| Authorized Official Name and Position | Joseph Park (PRESIDENT) |
| Authorized Official Contact | 6264080800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Pediatric Dentistry 925 W Foothill Blvd Ste C Monrovia CA 91016-1930 Ph: (626) 408-0800 | Sprout Pediatric Dentistry 925 W Foothill Blvd Ste C Monrovia CA 91016-1930 Ph: (626) 408-0800 |
| NPI Number | 1740900125 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740900125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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