| Kohan And Tsai Professional Dental Corporation Of Fontana | |
|
9190 Sierra Ave Ste 101 Fontana CA 92335-8613 | |
| (909) 356-4200 | |
| Not Available |
| Full Name | Kohan And Tsai Professional Dental Corporation Of Fontana |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9190 Sierra Ave Ste 101, Fontana, California |
| Authorized Official Name and Position | Collin Tsai (PRESIDENT) |
| Authorized Official Contact | 4157944279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kohan And Tsai Professional Dental Corporation Of Fontana 9190 Sierra Ave Ste 101 Fontana CA 92335-8613 Ph: (909) 356-4200 | Kohan And Tsai Professional Dental Corporation Of Fontana 9190 Sierra Ave Ste 101 Fontana CA 92335-8613 Ph: (909) 356-4200 |
| NPI Number | 1184395493 |
|---|---|
| Provider Enumeration Date | 09/26/2021 |
| Last Update Date | 09/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184395493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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