| Imprint Family Dentistry | |
|
56 E Duarte Rd Unit 103 Arcadia CA 91006-3511 | |
| (626) 657-8546 | |
| Not Available |
| Full Name | Imprint Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 56 E Duarte Rd Unit 103, Arcadia, California |
| Authorized Official Name and Position | Samuel Lee (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6266578546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imprint Family Dentistry 713 W Duarte Rd Unit G524 Arcadia CA 91007-7564 Ph: (626) 657-8546 | Imprint Family Dentistry 56 E Duarte Rd Unit 103 Arcadia CA 91006-3511 Ph: (626) 657-8546 |
| NPI Number | 1336855915 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336855915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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