Diamond Bar Dental Group
NPI #1194919290 in Diamond Bar, California
Provider Information
- NPI Number
- 1194919290
- Entity Type
- Organization
- Organization Name
- Diamond Bar Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 31, 2007
- Last Updated
- Dec 6, 2007
Practice Location
- Address
- 2040 S. BREA CANYON RD
- Address 2
- STE 210
- City
- Diamond Bar
- State
- California
- ZIP Code
- 91765-4008
- Phone
- (909) 396-0077
Authorized Official
- Name
- DR. JAMES CHAE
- Title
- OWNER
- Phone
- (909) 396-0077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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