| None | |
|
20530 E Arrow Hwy Ste A Covina CA 91724-1238 | |
| (626) 938-1236 | |
| Not Available |
| Full Name | None |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20530 E Arrow Hwy Ste A, Covina, California |
| Authorized Official Name and Position | Victor Magpili Rosales (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6269381236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 20530 E Arrow Hwy Ste A Covina CA 91724-1238 Ph: (626) 938-1236 | None 20530 E Arrow Hwy Ste A Covina CA 91724-1238 Ph: (626) 938-1236 |
| NPI Number | 1255752515 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 01/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255752515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 55369 (California) | Primary |
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