| Clinica Dental Familiar Guadalupana | |
|
16701 Valley Blvd Ste D Fontana CA 92335-6696 | |
| (909) 356-4490 | |
| (909) 356-5239 |
| Full Name | Clinica Dental Familiar Guadalupana |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16701 Valley Blvd Ste D, Fontana, California |
| Authorized Official Name and Position | Elizabeth Duarte (BILLER) |
| Authorized Official Contact | 9099881800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dental Familiar Guadalupana 16701 Valley Blvd Ste D Fontana CA 92335-6696 Ph: (909) 356-4490 | Clinica Dental Familiar Guadalupana 16701 Valley Blvd Ste D Fontana CA 92335-6696 Ph: (909) 356-4490 |
| NPI Number | 1083847867 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083847867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50895 (California) | Primary |
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