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12233 Central Ave Chino CA 91710-2423 | |
| (909) 628-0208 | |
| (909) 627-3372 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 12233 Central Ave, Chino, California |
| Authorized Official Name and Position | Elaine Salcido (CONTRACT SUPERVISOR) |
| Authorized Official Contact | 7147085308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2 Macarthur Pl Suite 700 Santa Ana CA 92707-5924 Ph: (714) 708-5308 | 12233 Central Ave Chino CA 91710-2423 Ph: (909) 628-0208 |
| NPI Number | 1659442838 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659442838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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