| Ou And Chan Dental Inc | |
|
5480 Philadelphia St Ste D Chino CA 91710-2486 | |
| (909) 464-2399 | |
| (909) 464-2398 |
| Full Name | Ou And Chan Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5480 Philadelphia St, Chino, California |
| Authorized Official Name and Position | Su Hwei Ou (PRESIDENT) |
| Authorized Official Contact | 9094642399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ou And Chan Dental Inc 5480 Philadelphia St Ste D Chino CA 91710-2486 Ph: (909) 464-2399 | Ou And Chan Dental Inc 5480 Philadelphia St Ste D Chino CA 91710-2486 Ph: (909) 464-2399 |
| NPI Number | 1710068317 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710068317 | NPI | - | NPPES |
| 37890 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37890 (California) | Primary |
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