# ADRIANA THOMAS PROFESSIONAL DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Plaza Dental Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114136827
- **Authorized official:** ADRIANA THOMAS DDS (PRESIDENT OWNER)
- **Authorized official phone:** (909) 594-2444

## Contact information

- **Practice address:** 1120 VIA VERDE, SAN DIMAS, CA 91773
- **Practice address phone:** (909) 599-2444
- **Practice address fax:** (909) 599-2024
- **Mailing address:** 1120 VIA VERDE, SAN DIMAS, CA 91773
- **Mailing address phone:** (909) 599-2444
- **Mailing address fax:** (909) 599-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 34296 | CA | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 06/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | F9179901 | — | CA |