| Fullerton Dental Associates | |
|
14050 Cherry Ave Unit A Fontana CA 92337-8312 | |
| (909) 280-4742 | |
| (909) 280-4742 |
| Full Name | Fullerton Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14050 Cherry Ave, Fontana, California |
| Authorized Official Name and Position | Ana Teissier (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9096064500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullerton Dental Associates 14050 Cherry Ave Ste A Fontana CA 92337-8312 Ph: (909) 280-4742 | Fullerton Dental Associates 14050 Cherry Ave Unit A Fontana CA 92337-8312 Ph: (909) 280-4742 |
| NPI Number | 1790589133 |
|---|---|
| Provider Enumeration Date | 04/03/2025 |
| Last Update Date | 09/02/2025 |
| Certification Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790589133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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