| Phillips Ranch Dental Group | |
|
4 Village Loop Rd B2 Phillips Ranch CA 91766-4891 | |
| (909) 620-0321 | |
| (909) 620-0324 |
| Full Name | Phillips Ranch Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 4 Village Loop Rd, Phillips Ranch, California |
| Authorized Official Name and Position | Jodie Ann Ramirez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9096200321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Ranch Dental Group 4 Village Loop Rd B2 Phillips Ranch CA 91766-4891 Ph: () - | Phillips Ranch Dental Group 4 Village Loop Rd B2 Phillips Ranch CA 91766-4891 Ph: (909) 620-0321 |
| NPI Number | 1427201151 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427201151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24452 (California) | Primary |
Juddy Lin, Dmd., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3080 W Temple Ave, Phillips Ranch, CA 91766 Phone: 909-620-6066 |