Organization
CLINICA DENTAL FAMILIAR GUADALUPANA
Active
Other names
LOURDES CARDOSO DDS INC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DUARTE (BILLER)
(909) 988-1800
Entity
Organization
Contact information
Practice address
16701 VALLEY BLVD STE D, FONTANA, CA 92335-6696
(909) 356-4490
(909) 356-5239
Mailing address
16701 VALLEY BLVD STE D, FONTANA, CA 92335-6696
(909) 356-4490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50895
CA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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