Clinica Dental Integral

NPI #1457503922 in Ontario, California

Provider Information

NPI Number
1457503922
Entity Type
Organization
Organization Name
Clinica Dental Integral
Subpart
Yes (part of a larger organization)
Parent Organization
AMEXUS DENTAL PPO
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 16, 2008
Last Updated
Oct 16, 2008

Practice Location

Address
3045 S ARCHIBALD AVE
Address 2
SUITE H-289
ZIP Code
91761-9001
Phone
(909) 758-8275

Authorized Official

Name
JESSICA SERRANO
Title
ADMINISTRATOR
Phone
(619) 270-2243

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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