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Organization
DENTAL PRACTICE OF A.F. CONCEPCION
Active
Organization
DENTAL PRACTICE OF A.F. CONCEPCION
Active
Other names
Lovely Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY FREDERICK CONCEPCION DDS (OWNER)
(909) 931-9510
Entity
Organization
Contact information
Practice address
130 S MOUNTAIN AVE STE G, UPLAND, CA 91786-6269
(909) 931-9510
Mailing address
7605 SILVER OAK PL, RANCHO CUCAMONGA, CA 91739-8803
(909) 463-0073
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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