| Summit Orthodontics | |
|
15258 Summit Ave Suite 300 Fontana CA 92336-0233 | |
| (909) 646-9600 | |
| (909) 646-9878 |
| Full Name | Summit Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15258 Summit Ave, Fontana, California |
| Authorized Official Name and Position | Henry Minh Nguyen (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 9096469600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Orthodontics 15258 Summit Ave Suite 300 Fontana CA 92336-0233 Ph: (909) 646-9600 | Summit Orthodontics 15258 Summit Ave Suite 300 Fontana CA 92336-0233 Ph: (909) 646-9600 |
| NPI Number | 1396744629 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396744629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 52662 (California) | Primary |
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