| St Moises Dental | |
|
12 Rancho Camino Dr Ste 102 Pomona CA 91766-7008 | |
| (909) 865-8500 | |
| Not Available |
| Full Name | St Moises Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 Rancho Camino Dr Ste 102, Pomona, California |
| Authorized Official Name and Position | Ublester Gomez (PRESIDENT/OWNER) |
| Authorized Official Contact | 9098658500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Moises Dental 12 Rancho Camino Dr Ste 102 Pomona CA 91766-7008 Ph: (909) 865-8500 | St Moises Dental 12 Rancho Camino Dr Ste 102 Pomona CA 91766-7008 Ph: (909) 865-8500 |
| NPI Number | 1285899443 |
|---|---|
| Provider Enumeration Date | 07/26/2008 |
| Last Update Date | 07/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285899443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46064 (California) | Primary |
Larissa Gushansky, DDS Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 887 E 2nd St, Suite B, Pomona, CA 91766 Phone: 909-865-8595 |
Pravinchandra Makadia DDS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 E Mission Blvd, Pomona, CA 91766 Phone: 909-622-1817 Fax: 909-622-8750 |
Miro Itskovich, DDS Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 847 Philadelphia St., Pomona, CA 91766 Phone: 909-927-4177 |
Dr. Mehta's Grove Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3167 N. Garey Ave, Pomona, CA 91767 Phone: 909-596-7700 Fax: 909-392-4697 |
Jeffrey B. Thomas, D.D.S. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 E Artesia St, Suite 125, Pomona, CA 91767 Phone: 909-622-1261 |
Larissa Gushansky, DDS Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 887 E 2nd St Ste D, Pomona, CA 91766 Phone: 909-865-8595 |