Community Dental of Dr. Chi

NPI #1922237155 in Moreno Valley, California

Provider Information

NPI Number: 1922237155
Entity Type: Organization
Organization Name: Community Dental of Dr. Chi
Primary Specialty: Dentist
Enumeration Date: Jul 9, 2009
Last Updated: Jul 22, 2009

Practice Location

Address: 11875 PIGEON PASS RD
Address 2: BUITE B9
City: Moreno Valley
State: California
ZIP Code: 92557-6039
Phone: (951) 488-8688

Authorized Official

Name: CHING-ROO TONY CHI, DDS,BDS
Title: DENTIST
Phone: (951) 488-8688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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