| Kirkland Dental Corp Pc | |
|
3943 Grand Ave Chino CA 91710-5440 | |
| (909) 843-9144 | |
| Not Available |
| Full Name | Kirkland Dental Corp Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3943 Grand Ave, Chino, California |
| Authorized Official Name and Position | Travis Z Kirkland (PRESIDENT) |
| Authorized Official Contact | 7757389666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirkland Dental Corp Pc 2575 N 5th St Elko NV 89801-5092 Ph: (775) 738-9666 | Kirkland Dental Corp Pc 3943 Grand Ave Chino CA 91710-5440 Ph: (909) 843-9144 |
| NPI Number | 1962849976 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 05/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962849976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62179 (California) | Primary |
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