| St.john Dental | |
|
910 E Gladstone St Azusa CA 91702-4747 | |
| (626) 332-3000 | |
| (626) 332-3001 |
| Full Name | St.john Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 910 E Gladstone St, Azusa, California |
| Authorized Official Name and Position | Atef Edward Gindy Hana (DENTIST) |
| Authorized Official Contact | 6263323000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St.john Dental 910 E Gladstone St Azusa CA 91702-4747 Ph: (626) 332-3000 | St.john Dental 910 E Gladstone St Azusa CA 91702-4747 Ph: (626) 332-3000 |
| NPI Number | 1902247885 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902247885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54147 (California) | Primary |
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