| Randa Nasr DDS | |
|
12854 10th St Ste D Chino CA 91710-4255 | |
| (909) 628-5540 | |
| (909) 627-6533 |
| Full Name | Randa Nasr DDS |
|---|---|
| Speciality | Dentist |
| Location | 12854 10th St Ste D, Chino, California |
| Authorized Official Name and Position | Randa Nasr (GENERAL DENTIST) |
| Authorized Official Contact | 9098312072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randa Nasr DDS 12854 10th St Ste D Chino CA 91710-4255 Ph: (909) 628-5540 | Randa Nasr DDS 12854 10th St Ste D Chino CA 91710-4255 Ph: (909) 628-5540 |
| NPI Number | 1790529287 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790529287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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