| Sweet Tooth Orthodontics and Children's Dentistry | |
|
6331 Haven Ave Ste 12 Rancho Cucamonga CA 91737-6942 | |
| (909) 989-7222 | |
| (909) 989-7227 |
| Full Name | Sweet Tooth Orthodontics and Children's Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6331 Haven Ave Ste 12, Rancho Cucamonga, California |
| Authorized Official Name and Position | Julia Eileen Brown (OWNER) |
| Authorized Official Contact | 9096598799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Tooth Orthodontics and Children's Dentistry 25745 Barton Rd # 703 Loma Linda CA 92354-3812 Ph: (909) 989-7222 | Sweet Tooth Orthodontics and Children's Dentistry 6331 Haven Ave Ste 12 Rancho Cucamonga CA 91737-6942 Ph: (909) 989-7222 |
| NPI Number | 1669048641 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669048641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Secondary |
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