| Yaowarattana Dds, Inc. | |
|
22737 Barton Rd Suite 12 Grand Terrace CA 92313-5262 | |
| (909) 825-3000 | |
| Not Available |
| Full Name | Yaowarattana Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22737 Barton Rd, Grand Terrace, California |
| Authorized Official Name and Position | Lalisa Yaowarattana (OWNER) |
| Authorized Official Contact | 9098253000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yaowarattana Dds, Inc. 22737 Barton Rd Suite 12 Grand Terrace CA 92313-5262 Ph: (909) 825-3000 | Yaowarattana Dds, Inc. 22737 Barton Rd Suite 12 Grand Terrace CA 92313-5262 Ph: (909) 825-3000 |
| NPI Number | 1033362215 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 12/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033362215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52133 (California) | Primary |
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