| Matta Botrous Dds Inc | |
|
10590 Town Center Dr Suite # 180 Rancho Cucamonga CA 91730-0360 | |
| (714) 650-1661 | |
| Not Available |
| Full Name | Matta Botrous Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 10590 Town Center Dr, Rancho Cucamonga, California |
| Authorized Official Name and Position | Matta Joseph Matta Botrous (PRESIDENT) |
| Authorized Official Contact | 7146501661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matta Botrous Dds Inc 10590 Town Center Dr Suite # 180 Rancho Cucamonga CA 91730-0360 Ph: (714) 650-1661 | Matta Botrous Dds Inc 10590 Town Center Dr Suite # 180 Rancho Cucamonga CA 91730-0360 Ph: (714) 650-1661 |
| NPI Number | 1962940874 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962940874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 62073 (California) | Primary |
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