| Smile Needs Dental | |
|
9113 Foothill Blvd Ste 210 Rancho Cucamonga CA 91730-3452 | |
| (909) 466-1245 | |
| Not Available |
| Full Name | Smile Needs Dental |
|---|---|
| Speciality | Dentist |
| Location | 9113 Foothill Blvd Ste 210, Rancho Cucamonga, California |
| Authorized Official Name and Position | Jose Mariano Castro (OWNER) |
| Authorized Official Contact | 9094661245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Needs Dental 9113 Foothill Blvd Ste 210 Rancho Cucamonga CA 91730-3452 Ph: (909) 466-1245 | Smile Needs Dental 9113 Foothill Blvd Ste 210 Rancho Cucamonga CA 91730-3452 Ph: (909) 466-1245 |
| NPI Number | 1043679061 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 02/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043679061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43911 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 43911 (California) | Secondary |
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