| Rowena Gbenoba A Dental Corporation | |
|
30688 Benton Rd Ste B102 Winchester CA 92596-8469 | |
| (951) 325-7776 | |
| Not Available |
| Full Name | Rowena Gbenoba A Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 30688 Benton Rd Ste B102, Winchester, California |
| Authorized Official Name and Position | Rowena Gbenoba (PRESIDENT) |
| Authorized Official Contact | 9513257776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowena Gbenoba A Dental Corporation 30688 Benton Rd Ste B102 Winchester CA 92596-8469 Ph: (951) 325-7776 | Rowena Gbenoba A Dental Corporation 30688 Benton Rd Ste B102 Winchester CA 92596-8469 Ph: (951) 325-7776 |
| NPI Number | 1447801600 |
|---|---|
| Provider Enumeration Date | 09/27/2019 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 9032520622 |
|---|---|
| Medicare Enrollment ID | O20201203001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447801600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Rowena Sanchez Gbenoba |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710116397 PECOS PAC ID: 0941611537 Enrollment ID: I20201203001539 |
Dental Corporation Of Kyle Poulsen Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32897 Western Hills Dr, Suite 103, Winchester, CA 92596 Phone: 951-335-5169 Fax: 951-213-4675 | |
Benton Modern Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30890 Benton Rd, Winchester, CA 92596 Phone: 714-845-8500 | |
Cohen Sedgh, Manavi & Pakravan Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35952 Winchester Rd Bldg 2, Winchester, CA 92596 Phone: 310-820-9933 |