Park Avenue Family Dentistry - Dental Clinic in Pomona, CA

Park Avenue Family Dentistry is a dental clinic (Dentist - General Practice) in Pomona, California. The current practice location for Park Avenue Family Dentistry is 1087 N Park Ave, Pomona, California. For appointments, you can reach them via phone at (909) 629-0201. The mailing address for Park Avenue Family Dentistry is 1087 N Park Ave, Pomona, California and phone number is (909) 629-0201.

Park Avenue Family Dentistry is licensed to practice in California (license number 34127) and its NPI number is 1205019858. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (909) 629-0201.

Contact Information

Park Avenue Family Dentistry
1087 N Park Ave
Pomona
CA 91768-3026
(909) 629-0201
Not Available

Dental Care Clinic Profile

Full NamePark Avenue Family Dentistry
SpecialityDentist - General Practice
Location1087 N Park Ave, Pomona, California
Authorized Official Name and PositionSoedharsono Judo (OWNER)
Authorized Official Contact9096290201
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Park Avenue Family Dentistry
1087 N Park Ave
Pomona
CA 91768-3026

Ph: (909) 629-0201
Park Avenue Family Dentistry
1087 N Park Ave
Pomona
CA 91768-3026

Ph: (909) 629-0201

NPI Details:

NPI Number1205019858
Provider Enumeration Date12/06/2007
Last Update Date12/06/2007

Medical Identifiers

Medical identifiers for Park Avenue Family Dentistry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205019858NPI-NPPES
G9044501MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 34127 (California)Primary

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Dental Clinics in Pomona, CA

Larissa Gushansky, Dds Inc.
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Miro Itskovich, Dds Inc.
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Medicare: Not Enrolled in Medicare
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Jeffrey B. Thomas, D.d.s.
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Medicare: Not Enrolled in Medicare
Practice Location: 160 E Artesia St, Suite 125, Pomona, CA 91767
Phone: 909-622-1261    
Larissa Gushansky, Dds Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 887 E 2nd St Ste D, Pomona, CA 91766
Phone: 909-865-8595    
Pravinchandra Makadia Dental Corporation
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 826 E Mission Blvd, Pomona, CA 91766
Phone: 909-996-6924    Fax: 909-622-8750

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