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Organization
ADRIANA THOMAS PROFESSIONAL DENTAL CORP
Active
Organization
ADRIANA THOMAS PROFESSIONAL DENTAL CORP
Active
Other names
Plaza Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA THOMAS DDS (PRESIDENT OWNER)
(909) 594-2444
Entity
Organization
Contact information
Practice address
1120 VIA VERDE, SAN DIMAS, CA 91773
(909) 599-2444
(909) 599-2024
Mailing address
1120 VIA VERDE, SAN DIMAS, CA 91773
(909) 599-2444
(909) 599-2024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F9179901
—
CA
Enumeration date
05/21/2007
Last updated
06/22/2010
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