# REDLANDS DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609036706
- **Authorized official:** DR. ELENA A KOGAN DDS (DENTIST/OWNER)
- **Authorized official phone:** (909) 793-5270

## Contact information

- **Practice address:** 860 W REDLANDS BLVD \# 105, REDLANDS, CA 92373-8010
- **Practice address phone:** (909) 793-5270
- **Practice address fax:** (909) 793-7679
- **Mailing address:** 860 W REDLANDS BLVD \# 105, REDLANDS, CA 92373-8010
- **Mailing address phone:** (909) 793-5270
- **Mailing address fax:** (909) 793-7679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 49427 | CA | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 06/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G8948701 | DENTIST | CA |