Persona Dental Group Of Shaw Dds, Inc. | |
8221 Rochester Ave Ste 110 Rancho Cucamonga CA 91730-0721 | |
(310) 347-6172 | |
Not Available |
Full Name | Persona Dental Group Of Shaw Dds, Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 8221 Rochester Ave Ste 110, Rancho Cucamonga, California |
Authorized Official Name and Position | James Chung Shaw (OWNER) |
Authorized Official Contact | 3103476172 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Persona Dental Group Of Shaw Dds, Inc. 8221 Rochester Ave Ste 110 Rancho Cucamonga CA 91730-0721 Ph: (310) 347-6172 | Persona Dental Group Of Shaw Dds, Inc. 8221 Rochester Ave Ste 110 Rancho Cucamonga CA 91730-0721 Ph: (310) 347-6172 |
NPI Number | 1184999815 |
---|---|
Provider Enumeration Date | 03/13/2012 |
Last Update Date | 03/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184999815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 59455 (California) | Primary |
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