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1042 N Mountain Ave Suite A-2 Upland CA 91786-3695 | |
| (909) 931-0222 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1042 N Mountain Ave, Upland, California |
| Authorized Official Name and Position | Yvette Rivera (DENTIST) |
| Authorized Official Contact | 5627746621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11186 Terra Vista Pkwy #116 Rancho Cucamonga CA 91730-7423 Ph: () - | 1042 N Mountain Ave Suite A-2 Upland CA 91786-3695 Ph: (909) 931-0222 |
| NPI Number | 1932574050 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932574050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53455 (California) | Primary |
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