Terra Vista Dental Care | |
7211 Haven Ave Ste # D Rancho Cucamonga CA 91701-6064 | |
(909) 256-8484 | |
(909) 256-8493 |
Full Name | Terra Vista Dental Care |
---|---|
Speciality | Dentist |
Location | 7211 Haven Ave, Rancho Cucamonga, California |
Authorized Official Name and Position | Keyurkumar Ratilal Patel (CEO) |
Authorized Official Contact | 9092670970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Terra Vista Dental Care 7211 Haven Ave Ste # D Rancho Cucamonga CA 91701-6064 Ph: (909) 256-8484 | Terra Vista Dental Care 7211 Haven Ave Ste # D Rancho Cucamonga CA 91701-6064 Ph: (909) 256-8484 |
NPI Number | 1053789826 |
---|---|
Provider Enumeration Date | 09/09/2015 |
Last Update Date | 09/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053789826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 54570 (California) | Primary |
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